{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:57:50Z","timestamp":1781528270016,"version":"3.54.1"},"reference-count":23,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,5,28]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    Contained rupture of a mycotic abdominal aortic aneurysm (AAA) is rare and potentially fatal. While most cases involve\n                    <jats:italic>Salmonella<\/jats:italic>\n                    or\n                    <jats:italic>Staphylococcus aureus<\/jats:italic>\n                    ,\n                    <jats:italic>Escherichia coli<\/jats:italic>\n                    is an uncommon cause.\n                  <\/jats:p>\n                  <jats:p>\n                    A man in his early 60s presented with acute\n                    <jats:italic>E. coli<\/jats:italic>\n                    prostatitis and a prostatic abscess. Abdominal ultrasound incidentally revealed a 3.8 cm infrarenal saccular AAA suspicious for contained rupture. Contrast-enhanced CT confirmed focal aortic wall disruption without active extravasation. Intravenous ceftriaxone and vancomycin were initiated, and serial imaging demonstrated stability. After infection control, endovascular aneurysm repair (EVAR) with an Endurant II stent graft was successfully performed. Recovery was uneventful and the patient completed targeted antibiotic therapy.\n                  <\/jats:p>\n                  <jats:p>\n                    This case illustrates an unusual presentation of\n                    <jats:italic>E. coli<\/jats:italic>\n                    -associated mycotic aneurysm detected before frank rupture. Early imaging, infection control and multidisciplinary coordination enabled a staged strategy with a favourable outcome.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2026-273171","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:40:35Z","timestamp":1781527235000},"page":"e273171","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Suspected infected infrarenal abdominal aortic aneurysm with contained rupture in the setting of\n                    <i>Escherichia coli<\/i>\n                    prostatitis"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3675-8216","authenticated-orcid":false,"given":"Paolo Augusto","family":"Romero Merino","sequence":"first","affiliation":[{"name":"Gerencia de Atenci\u00f3n Primaria Valladolid Este, Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0420-3396","authenticated-orcid":false,"given":"Luis Alejandro","family":"Echeverr\u00eda Orozco","sequence":"additional","affiliation":[{"name":"Universidad Mesoamericana, Quetzaltenango, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8100-6809","authenticated-orcid":false,"given":"Ricardo Xavier","family":"Cali Rodriguez","sequence":"additional","affiliation":[{"name":"Universidad Catolica de Santiago de Guayaquil, Guayaquil, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5739-9059","authenticated-orcid":false,"given":"Jos\u00e9 Daniel","family":"Enr\u00edquez Revelo","sequence":"additional","affiliation":[{"name":"Universidad de Antioquia, Medellin, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"2026061505402159000_19.6.e273171.1","first-page":"56","article-title":"Mycotic aortic and left iliac ruptured aneurysm due to Escherichia Coli: a case report and literature overview","volume":"122","author":"Ballaith","year":"2022","journal-title":"Acta Chir Belg"},{"key":"2026061505402159000_19.6.e273171.2","article-title":"Contained Rupture of a Small Mycotic Abdominal Aneurysm in a Patient With Infective Endocarditis","volume":"13","author":"Kesiena","year":"2021","journal-title":"Cureus"},{"key":"2026061505402159000_19.6.e273171.3","doi-asserted-by":"crossref","first-page":"1666","DOI":"10.18203\/2349-2902.isj20242769","article-title":"Ruptured mycotic abdominal aortic aneurysm in the setting of an adjacent perinephric abscess","volume":"11","author":"Schaal","year":"2024","journal-title":"Int Surg J"},{"key":"2026061505402159000_19.6.e273171.4","doi-asserted-by":"publisher","DOI":"10.5811\/cpcem.2016.11.31538"},{"key":"2026061505402159000_19.6.e273171.5","doi-asserted-by":"crossref","first-page":"46","DOI":"10.22546\/56\/1859","article-title":"Ruptured cerebral mycotic aneurysm, an unusual infective endocarditis presentation","volume":"81","author":"Alves","year":"2020","journal-title":"Gal Clin"},{"key":"2026061505402159000_19.6.e273171.6","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-020-4819-0","article-title":"A mycotic aneurysm related to Salmonella Rissen infection: a case report","volume":"20","author":"Nagrodzki","year":"2020","journal-title":"BMC Infect Dis"},{"key":"2026061505402159000_19.6.e273171.7","doi-asserted-by":"crossref","first-page":"363","DOI":"10.5144\/0256-4947.2002.363","article-title":"Salmonella aortitis: a case report","volume":"22","author":"Al-Tawfiq","year":"2002","journal-title":"Ann Saudi Med"},{"key":"2026061505402159000_19.6.e273171.8","first-page":"200","article-title":"Infected abdominal aortic aneurysm due to Escherichia coli","volume":"117","author":"Bouzas","year":"2017","journal-title":"Acta Chir Belg"},{"key":"2026061505402159000_19.6.e273171.9","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/S0163-4453(96)91591-1","article-title":"Escherichia coli infection of an abdominal aortic aneurysm","volume":"32","author":"Khaira","year":"1996","journal-title":"J Infect"},{"key":"2026061505402159000_19.6.e273171.10","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s12055-009-0037-5","article-title":"Suppurative aortitis due to Escherichia coli: A report of contained rupture of infected abdominal aortic aneurysm","volume":"25","author":"Makker","year":"2009","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"2026061505402159000_19.6.e273171.11","doi-asserted-by":"crossref","DOI":"10.1002\/ccr3.8288","article-title":"A rare case of mycotic aortic aneurysm with Clostridium perfringens culture","volume":"11","author":"Tadayon","year":"2023","journal-title":"Clin Case Rep"},{"key":"2026061505402159000_19.6.e273171.12","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s13256-021-03247-w","article-title":"Mycotic abdominal aortic aneurysm caused by Borrelia afzelii: a case report","volume":"16","author":"Torsteinsen","year":"2022","journal-title":"J Med Case Reports"},{"key":"2026061505402159000_19.6.e273171.13","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-3-6453"},{"key":"2026061505402159000_19.6.e273171.14","unstructured":"D\u2019Souza D , Silverstone L , Bell D . Mycotic aneurysm. Radiopaedia.org. 2026 Available: https:\/\/radiopaedia.org\/articles\/1706"},{"key":"2026061505402159000_19.6.e273171.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.11.002"},{"key":"2026061505402159000_19.6.e273171.16","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001106"},{"key":"2026061505402159000_19.6.e273171.17","doi-asserted-by":"crossref","first-page":"59","DOI":"10.5830\/CVJA-2022-024","article-title":"Mycotic abdominal aortic aneurysm: two cases caused by Salmonella enterica","volume":"34","author":"Tandogar","year":"2023","journal-title":"Cardiovasc J Afr"},{"key":"2026061505402159000_19.6.e273171.18","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1081\/JDI-120013974","article-title":"Mycotic aneurysm presenting as acute pyelonephritis","volume":"24","author":"Chen","year":"2002","journal-title":"Ren Fail"},{"key":"2026061505402159000_19.6.e273171.19","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.949202","article-title":"Escherichia coli-Induced Aortitis and Aortic Perforation: A Case Study and Literature Review","volume":"26","author":"Abdelkareem","year":"2025","journal-title":"Am J Case Rep"},{"key":"2026061505402159000_19.6.e273171.20","doi-asserted-by":"crossref","first-page":"2640","DOI":"10.18203\/2320-6012.ijrms20251661","article-title":"A case report on mycotic aneurysm by non-typhoidal Salmonella","volume":"13","author":"Kumar","year":"2025","journal-title":"Int J Res Med Sci"},{"key":"2026061505402159000_19.6.e273171.21","first-page":"1396568","article-title":"Infected Abdominal Aortic Aneurysm with Helicobacter cinaedi","volume":"2016","author":"Nishida","year":"2016","journal-title":"Case Rep Surg"},{"key":"2026061505402159000_19.6.e273171.22","doi-asserted-by":"crossref","first-page":"100166","DOI":"10.1016\/j.avsurg.2023.100166","article-title":"Outcomes of emergency endovascular repair for ruptured mycotic aortic aneurysm","volume":"3","author":"Porez","year":"2023","journal-title":"Annal Vascul Surg Brief Rep Innov"},{"key":"2026061505402159000_19.6.e273171.23","doi-asserted-by":"crossref","first-page":"239","DOI":"10.3400\/avd.cr.17-00135","article-title":"Infected Abdominal Aortic Aneurysm Caused by Campylobacter Jejuni","volume":"11","author":"Yanase","year":"2018","journal-title":"Ann Vasc Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-273171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:40:41Z","timestamp":1781527241000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-273171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":23,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6,15]]},"published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1136\/bcr-2026-273171"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-273171","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}