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       Journal List > Yonsei Med J > v.49(2); Apr 2008
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Yonsei Med J. 2008 Apr;49(2):322-324.
Published online 2008 April 20.  doi: 10.3349/ymj.2008.49.2.322.
Copyright © 2008 The Yonsei University College of Medicine
Acupuncture Induced Necrotizing Aortitis with Infected Pseudoaneurysm Formation
Sak Lee,1 Sang Hyun Lim,2 Do-Kyun Kim,1 and Hyun-Chul Joo1
1Department of Thoracic and Cardiovascular Surgery, Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea.
2Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Korea.

Reprint address: requests to Dr. Sang Hyun Lim, Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, San 5 Wonchon-dong, Yeongtong-gu, Suwon 443-721, Korea. Tel: 82-31-219-4215, Fax: 82-31-219-5215, Email: dbricasa@ajou.ac.kr
Received March 27, 2006; Accepted October 26, 2006.

Abstract

Necrotizing aortitis is a rare and life-threatening complication of local or generalized bacterial infections and most commonly affects the abdominal aorta. We described a case of a 79-year-old man with an acupuncture-induced bacterial aortitis associated with pseudoaneurysm formation causing near rupture. The patient underwent emergent explolapartomy, resection of the infected aorta, wide debridement of surrounding infected tissues, and extra-anatomic axillary to bifemoral graft bypass. The microbiologic examination revealed Escherichia coli and methicillin resistant Staphylococcus aureus (MRSA). Necrotizing aortitis is very serious and fatal disease, careful history taking as well as rapid diagnosis and urgent treatment are of critical importance.

Keywords: Acupuncture, necrotiwing aortitis, pseudoaneurysm.
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