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Case Reports in Infectious Diseases
Volume 2017 (2017), Article ID 8472930, 3 pages
Case Report

Successful Treatment of Clostridium difficile Bacteremia with Aortic Mycotic Aneurysm in a Patient with Prior Endovascular Aortic Aneurysm Repair

Division of Infectious Diseases and Global Medicine, Department of Medicine, University of Florida, College of Medicine, 1600 SW Archer Rd., Gainesville, FL 32610, USA

Correspondence should be addressed to Kairav Shah

Received 18 January 2017; Revised 6 February 2017; Accepted 8 February 2017; Published 27 February 2017

Academic Editor: Alexandre Rodrigues Marra

Copyright © 2017 Kairav Shah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The clinical spectrum of Clostridium difficile infection can range from benign gastrointestinal colonization to mild diarrhea and life threatening conditions such as pseudomembranous colitis and toxic megacolon. Extraintestinal manifestations of C. difficile are rare. Here, we report a patient with a history of an endovascular aortic aneurysm repair (EVAR) presenting with an endovascular leak complicated by C. difficile bacteremia and a mycotic aneurysm. He was successfully treated with an explant of the EVAR, an aorto-left renal bypass, and aorto-bi-iliac bypass graft placement along with a six-week duration of intravenous vancomycin and oral metronidazole.