Mycotic Aneurysm of the Carotid Artery Following Streptococcal Angina

Introduction

Mycotic aneurysm of the carotid artery is a rare but potentially life-threatening event.

Report

A 53-year-old man developed a painful mass in the left neck after correct treatment of a streptococcal angina. Duplex ultrasound and magnetic resonance angiography confirmed a mycotic aneurysm of the internal carotid artery. Management consisted of clinical observation, systemic antibiotics, and daily duplex ultrasound evaluations.

Discussion

To our knowledge, this is the first report of mycotic aneurysm of carotid arteries managed conservatively. Although conservative management is not the first-choice therapy, in our case, surgery or stent grafting of the mycotic aneurysm of the carotid artery was avoided.

Keywords: Mycotic, Aneurysm, Carotid arteries, Magnetic resonance imaging