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
Hauptverfasser: Uno, Kenji, Kasahara, Kei, Komatsu, Yuko, Konishi, Mitsuru, Yoshihmoto, Eiichiro, Maeda, Koichi, Mikasa, Keiichi
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container_end_page 1258
container_issue 10
container_start_page 1255
container_title Internal Medicine
container_volume 51
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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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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