A 76-year-old man presented with fever, vomiting, hypoxia, and confusion. His medical history included an abdominal aortic aneurysm (AAA) status-post repair with an endograft 2 years prior. Blood cultures grew Bacteroides fragilis and an abdominal CT demonstrated AAA aneurysmal sac inflammation (Fig. 1). Indium-111 WBC scintigraphy showed AAA radiotracer localization (Fig. 2) consistent with a mycotic aneurysm. While undergoing surgical endograft explant with aortic reconstruction, this patient’s endograft was found in a “pool of pus.” He was later discharged for outpatient ertapenem infusions.
WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.
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Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.