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Case report
Successful transcatheter embolisation of iliac artery mycotic aneurysm in a neonate
  1. Afraa Al-Sabbagh1,
  2. Matthew Armon1,
  3. Derek Roebuck2,
  4. Julian Eason1
  1. 1Norfolk and Norwich University Hospital, Norwich, UK
  2. 2Great Ormond Street Hospital, London, UK
  1. Correspondence to:
    Dr Afraa Al-Sabbagh
    43 Tizzick Close, Norwich NR5 9HB, UK; afraata{at}yahoo.co.uk

https://doi.org/10.1136/adc.2006.103275

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    We report a case of a term infant presented to the Norfolk and Norwich University Hospital NHS Trust with Methicillin Resistant Staphylococcus Aureus (MRSA). This was complicated by multiple skin and intra-abdominal abscesses and a mycotic aneurysm of the internal iliac artery treated with coil insertion.

    A term male infant with a birth weight of 2.47 kg was delivered by emergency caesarean section for fetal distress. The placenta was small and showed evidence of chorioamnionitis. Due to persisting hypoglycaemia, an umbilical venous catheter was inserted on day two to deliver concentrated dextrose solution. The position of the catheter was confirmed to be in the umbilical vein by an abdominal X ray. The catheter was removed on day five.

    The following day its tip was reported as growing Staphylococcal aureus. This was reported as MRSA one day following his discharge from hospital. His general practitioner was informed, and the infant was clinically well when examined on that day. Nasal and skin swabs taken from mother and infant were positive …

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    Footnotes

    • Competing interests: None.