Late-onset mycotic aneurysm of brachial artery secondary to infective endocarditis: case report

Abstract

Infective endocarditis remains a dreaded and
severe disease because of its course, its
complications, its need for good antibiotic
management, as well as its morbidity. Peripheral
mycotic aneurysm is a rare complication of
infective endocarditis. We report the case of a 62-
year-old female patient who presented with
Streptococcus SPP infective endocarditis treated by
antibiotics. Two months later, she presented with a
mycotic aneurysm of the right brachial artery with
the same germ, we have performed a brachial
artery ligation, then a complete revascularization
by graft of the saphenous vein. Through this case,
we should not forget that the lesional assessment
is always necessary to avoid missing serious
complications that could threaten the functional
prognosis, even vital.