A SOLITARY ILIAC ARTERY ANEURYSM CAUSED BY CANDIDA INFECTION - REPORTOF A CASE

We report a very rare case of an infected aneurysm of solitary common iliac artery by Candida albicans. The patient, a 70 year-old male, had a history of systemic Candidemia infected through intravenous hyperli mentation (IVH) catheter 2 years ago. By physical examinations and lab oratory data, infectious disease was suspected. Computed tomography sh owed right hydronephrosis and right solitary common iliac artery aneur ysm, and operation was performed with diagnosis of infected aneurysm. The aneurysm was removed with the end of the abdominal aorta, and the arterial blood now was restored by axillo-bifemoral bypass. Histopatho logical findings revealed abscess formation around the aneurysm with p hlogocytes infiltration in both outer media of aneurysmal wall and vas a vasorum. Candida albicans was found as causative pathogen from resec ted specimens. This aneurysm is considered to be resulted from survivi ng candida in vasa vasorum after previous candidemia.