Mycotic aneurysms of the upper extremity, report of two cases.

Two cases of mycotic aneurysm of the brachial artery secondary to illicit drug injection are described. Review of the literature shows an increased incidence of mycotic aneurysms secondary to intravenous/intra-arterial drug injections. There is a greater propensity for these aneurysms to rupture, thus early diagnosis and adequate antibiotic and surgical treatment is advised. Resection of the aneurysm and ligation of the vessel is the procedure of choice if adequate distal circulation exists.