Infectious Aortitis with Multiple Mycotic Aneurysms Caused by Streptococcus agalactiae

Infectious Aortitis with Multiple Mycotic Aneurysms Caused by Streptococcus agalactiae

We report a case of a 66-year-old man with multiple thoracoabdominal mycotic aortic aneurysms caused by Streptococcus agalactiae ( S agalactiae ). The infectious aortitis (IA) was diagnosed by transesophageal echocardiography and computed tomography and confirmed by positive blood cultures. The pati...

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Veröffentlicht in:Annals of vascular surgery 2013-10, Vol.27 (7), p.975.e7-975.e13
Hauptverfasser: Cozijnsen, Luc, Marsaoui, Badyr, Braam, Richard L, Groenemeijer, Björn E, van Hees, Babette C, Kardux, Joost J, Vogtländer, Nils P.J, Schepens, Marc A.A.M
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Aneurysm, Infected - diagnosis
Aneurysm, Infected - microbiology
Aneurysm, Infected - therapy
Anti-Bacterial Agents - therapeutic use
Aortic Aneurysm - diagnosis
Aortic Aneurysm - microbiology
Aortic Aneurysm - therapy
Aortitis - diagnosis
Aortitis - microbiology
Aortitis - therapy
Aortography - methods
Blood Vessel Prosthesis Implantation
Echocardiography, Transesophageal
Humans
Male
Streptococcal Infections - diagnosis
Streptococcal Infections - microbiology
Streptococcal Infections - therapy
Streptococcus agalactiae - isolation & purification
Surgery
Tomography, X-Ray Computed
Treatment Outcome
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Beschreibung
Zusammenfassung:We report a case of a 66-year-old man with multiple thoracoabdominal mycotic aortic aneurysms caused by Streptococcus agalactiae ( S agalactiae ). The infectious aortitis (IA) was diagnosed by transesophageal echocardiography and computed tomography and confirmed by positive blood cultures. The patient was treated with antibiotics, but, after worsening of the aortitis, a successful surgical procedure was performed. A review of the literature is presented together with a series of 7 other cases of IA caused by S agalactiae.
ISSN:0890-5096
1615-5947
DOI:10.1016/j.avsg.2012.10.027