Rupture of Renal Mycotic Aneurysm that Developed during the Treatment of Streptococcal Infective Endocarditis and Vertebral Osteomyelitis
A 50-year-old woman received two weeks of cefozopran and two weeks of imipenem for streptococcal endocarditis and vertebral osteomyelitis. Subsequently she received four weeks of oral levofloxacin and eight weeks of oral clarithromycin due to persistent elevation of C-reactive protein. Finally, she...
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Veröffentlicht in: | Internal Medicine 2012, Vol.51(10), pp.1255-1258 |
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creator | Uno, Kenji Kasahara, Kei Komatsu, Yuko Konishi, Mitsuru Yoshihmoto, Eiichiro Maeda, Koichi Mikasa, Keiichi |
description | A 50-year-old woman received two weeks of cefozopran and two weeks of imipenem for streptococcal endocarditis and vertebral osteomyelitis. Subsequently she received four weeks of oral levofloxacin and eight weeks of oral clarithromycin due to persistent elevation of C-reactive protein. Finally, she was admitted to our hospital due to massive hematuria. Abdominal CT showed rupture of an aneurysm in the right kidney and emergent coil embolization was performed. Multiple sets of blood culture grew Streptococcus oralis, and transthoracic echocardiography revealed vegetation at the aortic valve. Retrospective review of the abdominal images revealed the emergence of the aneurysm during the treatment. |
doi_str_mv | 10.2169/internalmedicine.51.6418 |
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Subsequently she received four weeks of oral levofloxacin and eight weeks of oral clarithromycin due to persistent elevation of C-reactive protein. Finally, she was admitted to our hospital due to massive hematuria. Abdominal CT showed rupture of an aneurysm in the right kidney and emergent coil embolization was performed. Multiple sets of blood culture grew Streptococcus oralis, and transthoracic echocardiography revealed vegetation at the aortic valve. Retrospective review of the abdominal images revealed the emergence of the aneurysm during the treatment.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.51.6418</identifier><identifier>PMID: 22687800</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aneurysm, Infected - etiology ; Aneurysm, Ruptured - etiology ; Anti-Bacterial Agents - therapeutic use ; appropriate antibiotic therapy ; Endocarditis, Bacterial - complications ; Endocarditis, Bacterial - drug therapy ; Female ; Humans ; infective endocarditis ; Middle Aged ; mycotic aneurysm ; Osteomyelitis - complications ; Osteomyelitis - drug therapy ; Renal Artery ; Rupture, Spontaneous ; Spinal Diseases - complications ; Spinal Diseases - drug therapy ; Streptococcal Infections - complications ; Streptococcal Infections - drug therapy ; Streptococcus ; Streptococcus oralis ; vertebral osteomyelitis</subject><ispartof>Internal Medicine, 2012, Vol.51(10), pp.1255-1258</ispartof><rights>2012 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-cef95d779171b386f53163ae904ef23c220c8bb603cee456ba8666cc8ebe9f7f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22687800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uno, Kenji</creatorcontrib><creatorcontrib>Kasahara, Kei</creatorcontrib><creatorcontrib>Komatsu, Yuko</creatorcontrib><creatorcontrib>Konishi, Mitsuru</creatorcontrib><creatorcontrib>Yoshihmoto, Eiichiro</creatorcontrib><creatorcontrib>Maeda, Koichi</creatorcontrib><creatorcontrib>Mikasa, Keiichi</creatorcontrib><title>Rupture of Renal Mycotic Aneurysm that Developed during the Treatment of Streptococcal Infective Endocarditis and Vertebral Osteomyelitis</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 50-year-old woman received two weeks of cefozopran and two weeks of imipenem for streptococcal endocarditis and vertebral osteomyelitis. Subsequently she received four weeks of oral levofloxacin and eight weeks of oral clarithromycin due to persistent elevation of C-reactive protein. Finally, she was admitted to our hospital due to massive hematuria. Abdominal CT showed rupture of an aneurysm in the right kidney and emergent coil embolization was performed. Multiple sets of blood culture grew Streptococcus oralis, and transthoracic echocardiography revealed vegetation at the aortic valve. Retrospective review of the abdominal images revealed the emergence of the aneurysm during the treatment.</description><subject>Aneurysm, Infected - etiology</subject><subject>Aneurysm, Ruptured - etiology</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>appropriate antibiotic therapy</subject><subject>Endocarditis, Bacterial - complications</subject><subject>Endocarditis, Bacterial - drug therapy</subject><subject>Female</subject><subject>Humans</subject><subject>infective endocarditis</subject><subject>Middle Aged</subject><subject>mycotic aneurysm</subject><subject>Osteomyelitis - complications</subject><subject>Osteomyelitis - drug therapy</subject><subject>Renal Artery</subject><subject>Rupture, Spontaneous</subject><subject>Spinal Diseases - complications</subject><subject>Spinal Diseases - drug therapy</subject><subject>Streptococcal Infections - complications</subject><subject>Streptococcal Infections - drug therapy</subject><subject>Streptococcus</subject><subject>Streptococcus oralis</subject><subject>vertebral osteomyelitis</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1u1DAUhS0EokPhFZCXbDL4J3HsZVVaqFQ0UilsI8e5bl0ldrCdSvMIvDWOZpgFYsHmWvL9zjnSPQhhSraMCvXR-QzR63GCwRnnYdvQraipfIE2lNeqahlvXqINUVRWrIwz9CalJ0K4bBV7jc4YE7KVhGzQr7tlzksEHCy-g2KJv-5NyM7gCw9L3KcJ50ed8Sd4hjHMMOBhic4_lF_A9xF0nsDnVf0tR5hzMMGY4nLjLZjsngFf-SEYHQeXXcLaD_gHxAx9LNAuZQjTHsZ19xa9snpM8O74nqPv11f3l1-q293nm8uL28o0lOTKgFXN0LaKtrTnUtiGU8E1KFKDZdwwRozse0G4Aagb0WsphDBGQg_Ktpafow8H3zmGnwuk3E0uGRhH7SEsqaPlSoKKWrD_QBmhUnG6ovKAmhhSimC7ObpJx32BurWz7u_OuoZ2a2dF-v6YsvRleRL-KakAuwPwlLJ-gBOgY-lphH86l9QyjxEn0jzq2IHnvwFHvbhY</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Uno, Kenji</creator><creator>Kasahara, Kei</creator><creator>Komatsu, Yuko</creator><creator>Konishi, Mitsuru</creator><creator>Yoshihmoto, Eiichiro</creator><creator>Maeda, Koichi</creator><creator>Mikasa, Keiichi</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>7QP</scope><scope>C1K</scope></search><sort><creationdate>20120101</creationdate><title>Rupture of Renal Mycotic Aneurysm that Developed during the Treatment of Streptococcal Infective Endocarditis and Vertebral Osteomyelitis</title><author>Uno, Kenji ; 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subjects | Aneurysm, Infected - etiology Aneurysm, Ruptured - etiology Anti-Bacterial Agents - therapeutic use appropriate antibiotic therapy Endocarditis, Bacterial - complications Endocarditis, Bacterial - drug therapy Female Humans infective endocarditis Middle Aged mycotic aneurysm Osteomyelitis - complications Osteomyelitis - drug therapy Renal Artery Rupture, Spontaneous Spinal Diseases - complications Spinal Diseases - drug therapy Streptococcal Infections - complications Streptococcal Infections - drug therapy Streptococcus Streptococcus oralis vertebral osteomyelitis |
title | Rupture of Renal Mycotic Aneurysm that Developed during the Treatment of Streptococcal Infective Endocarditis and Vertebral Osteomyelitis |
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