Imaging findings, diagnosis, and clinical outcomes in patients with mycotic aneurysms: single center experience

PurposeTo review the presentation, imaging, clinical management, and outcomes in patients with mycotic aneurysm (MA).MethodsFifty-five cases in 49 patients (33 men, 16 women, average age: 66.2 years) were identified.ResultsOf 49 patients, only 20% presented with the classic clinical triad of fever, elevated white count, and pain. Computed tomography was the most utilized imaging modality; focal vascular outpouching was the most frequent imaging finding (76%). There was 17% mortality rate within 6 months of diagnosis despite intervention.ConclusionsClinical presentation and blood cultures can be nonspecific, highlighting the importance of imaging diagnosis of MA to expedite treatment.