PRIMARY MYCOTIC ANEURYSM IN INFANCY AND CHILDHOOD

Abstract
The literature is reviewed and a case is reported with mycotic aneurysm of the descending thoracic aorta in a 10 month old infant following beta streptococcal septicemia. Aneurysms in children are a rare occurrence and mycotic aortic aneurysms are reported in only 13 cases to date. Although mycotic aneurysms are characterized as occurring in the wall of diseased aortas, only 3 of the 14 children reported had any associated aortic disease (in these aneurysm was distal to an area of coarctation). Primary mycotic aneurysms follow septicemia and have a high incidence of rupture secondary to necrosis of the wall of the affected vessel.

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