First Robinsoniella peoriensis aortic cross homograft mycotic pseudoaneurysm: A case report and review of the literature
Mycotic aortic aneurysm is a rare and challenging complication of aortic homografts caused by an infection and is associated with high morbidity and mortality. We report the first case of an aortic cross homograft mycotic pseudoaneurysm caused by Robinsoniella peoriensis in a 70-year-old man. Our pa...
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| Veröffentlicht in: | Anaerobe 2017-04, Vol.44, p.23-26 |
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| creator | Mertes, H. Defourny, L. Tré-Hardy, M. Lhommel, R. El Khoury, G. Rodriguez-Villalobos, H. Belkhir, L. |
| description | Mycotic aortic aneurysm is a rare and challenging complication of aortic homografts caused by an infection and is associated with high morbidity and mortality.
We report the first case of an aortic cross homograft mycotic pseudoaneurysm caused by Robinsoniella peoriensis in a 70-year-old man. Our patient underwent surgery for a recurrence of aortic cross mycotic pseudoaneurysm at the level of the aortic homograft he had had 7 years before. A clot-removal of the pseudoaneurysm was surgically carried out and the homograft was completely removed. Anaerobic culture from tissue samples yielded pure growth of a spore-forming Gram-positive rod, identified later as Robinsoniella peoriensis by 16S rRNA gene sequencing. The patient was then discharged with oral clindamycin according to the in vitro susceptibility testing.
Identification of R. peoriensis might be challenging in clinical laboratories with no access to molecular methods. |
| doi_str_mv | 10.1016/j.anaerobe.2016.12.014 |
| format | Article |
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We report the first case of an aortic cross homograft mycotic pseudoaneurysm caused by Robinsoniella peoriensis in a 70-year-old man. Our patient underwent surgery for a recurrence of aortic cross mycotic pseudoaneurysm at the level of the aortic homograft he had had 7 years before. A clot-removal of the pseudoaneurysm was surgically carried out and the homograft was completely removed. Anaerobic culture from tissue samples yielded pure growth of a spore-forming Gram-positive rod, identified later as Robinsoniella peoriensis by 16S rRNA gene sequencing. The patient was then discharged with oral clindamycin according to the in vitro susceptibility testing.
Identification of R. peoriensis might be challenging in clinical laboratories with no access to molecular methods.</description><identifier>ISSN: 1075-9964</identifier><identifier>EISSN: 1095-8274</identifier><identifier>DOI: 10.1016/j.anaerobe.2016.12.014</identifier><identifier>PMID: 28043924</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>16S rRNA gene sequencing ; Aged ; Allografts - diagnostic imaging ; Allografts - pathology ; Aneurysm, False - diagnostic imaging ; Aneurysm, False - etiology ; Aneurysm, False - microbiology ; Aneurysm, False - pathology ; Aortic Diseases - diagnosis ; Aortic Diseases - diagnostic imaging ; Aortic Diseases - microbiology ; Aortic Diseases - pathology ; Aortic homograft ; Clostridiales - classification ; Clostridiales - genetics ; Clostridiales - isolation & purification ; DNA, Bacterial - chemistry ; DNA, Bacterial - genetics ; DNA, Ribosomal - chemistry ; DNA, Ribosomal - genetics ; Gram-Positive Bacterial Infections - diagnosis ; Gram-Positive Bacterial Infections - microbiology ; Gram-Positive Bacterial Infections - pathology ; Humans ; Male ; Mycotic pseudoaneurysm ; Positron Emission Tomography Computed Tomography ; RNA, Ribosomal, 16S - genetics ; Robinsoniella peoriensis ; Sequence Analysis, DNA</subject><ispartof>Anaerobe, 2017-04, Vol.44, p.23-26</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-b6f97fc2d379c2125b0fc7b6d5cbab92bd5ce15a384d478239a6e62d9b9dea373</citedby><cites>FETCH-LOGICAL-c368t-b6f97fc2d379c2125b0fc7b6d5cbab92bd5ce15a384d478239a6e62d9b9dea373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1075996416301731$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28043924$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mertes, H.</creatorcontrib><creatorcontrib>Defourny, L.</creatorcontrib><creatorcontrib>Tré-Hardy, M.</creatorcontrib><creatorcontrib>Lhommel, R.</creatorcontrib><creatorcontrib>El Khoury, G.</creatorcontrib><creatorcontrib>Rodriguez-Villalobos, H.</creatorcontrib><creatorcontrib>Belkhir, L.</creatorcontrib><title>First Robinsoniella peoriensis aortic cross homograft mycotic pseudoaneurysm: A case report and review of the literature</title><title>Anaerobe</title><addtitle>Anaerobe</addtitle><description>Mycotic aortic aneurysm is a rare and challenging complication of aortic homografts caused by an infection and is associated with high morbidity and mortality.
We report the first case of an aortic cross homograft mycotic pseudoaneurysm caused by Robinsoniella peoriensis in a 70-year-old man. Our patient underwent surgery for a recurrence of aortic cross mycotic pseudoaneurysm at the level of the aortic homograft he had had 7 years before. A clot-removal of the pseudoaneurysm was surgically carried out and the homograft was completely removed. Anaerobic culture from tissue samples yielded pure growth of a spore-forming Gram-positive rod, identified later as Robinsoniella peoriensis by 16S rRNA gene sequencing. The patient was then discharged with oral clindamycin according to the in vitro susceptibility testing.
Identification of R. peoriensis might be challenging in clinical laboratories with no access to molecular methods.</description><subject>16S rRNA gene sequencing</subject><subject>Aged</subject><subject>Allografts - diagnostic imaging</subject><subject>Allografts - pathology</subject><subject>Aneurysm, False - diagnostic imaging</subject><subject>Aneurysm, False - etiology</subject><subject>Aneurysm, False - microbiology</subject><subject>Aneurysm, False - pathology</subject><subject>Aortic Diseases - diagnosis</subject><subject>Aortic Diseases - diagnostic imaging</subject><subject>Aortic Diseases - microbiology</subject><subject>Aortic Diseases - pathology</subject><subject>Aortic homograft</subject><subject>Clostridiales - classification</subject><subject>Clostridiales - genetics</subject><subject>Clostridiales - isolation & purification</subject><subject>DNA, Bacterial - chemistry</subject><subject>DNA, Bacterial - genetics</subject><subject>DNA, Ribosomal - chemistry</subject><subject>DNA, Ribosomal - genetics</subject><subject>Gram-Positive Bacterial Infections - diagnosis</subject><subject>Gram-Positive Bacterial Infections - microbiology</subject><subject>Gram-Positive Bacterial Infections - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Mycotic pseudoaneurysm</subject><subject>Positron Emission Tomography Computed Tomography</subject><subject>RNA, Ribosomal, 16S - genetics</subject><subject>Robinsoniella peoriensis</subject><subject>Sequence Analysis, DNA</subject><issn>1075-9964</issn><issn>1095-8274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtP3TAQha0KVF79C8jLbhJsJ3biropQgUpISKhdW35Miq9u4tR2KPff43ChW1Y-Hp0zo_MhdE5JTQkVF5taTxpiMFCz8q8pqwltP6FjSiSveta1B6vueCWlaI_QSUobQihtOf-MjlhP2kay9hg9X_uYMn4Ixk8pTB62W41nCNHDlHzCOsTsLbYxpIQfwxj-RD1kPO5sWOdzgsUFPcESd2n8hi-x1QlwhLnksJ5ckU8e_uEw4PwIeOszRJ2XCGfocNDbBF_e3lP0-_rHr6vb6u7-5ufV5V1lG9HnyohBdoNlrumkZZRxQwbbGeG4NdpIZooAynXTt67tetZILUAwJ410oJuuOUVf93vnGP4ukLIafbJrzQnCkhTtOSei6XtSrGJvfW0bYVBz9KOOO0WJWqmrjXqnrlbqijJVqJfg-duNxYzg_sfeMRfD970BStPCI6pkC2ALzkewWbngP7rxAj14mis</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Mertes, H.</creator><creator>Defourny, L.</creator><creator>Tré-Hardy, M.</creator><creator>Lhommel, R.</creator><creator>El Khoury, G.</creator><creator>Rodriguez-Villalobos, H.</creator><creator>Belkhir, L.</creator><general>Elsevier Ltd</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></search><sort><creationdate>201704</creationdate><title>First Robinsoniella peoriensis aortic cross homograft mycotic pseudoaneurysm: A case report and review of the literature</title><author>Mertes, H. ; Defourny, L. ; Tré-Hardy, M. ; Lhommel, R. ; El Khoury, G. ; Rodriguez-Villalobos, H. ; Belkhir, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-b6f97fc2d379c2125b0fc7b6d5cbab92bd5ce15a384d478239a6e62d9b9dea373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>16S rRNA gene sequencing</topic><topic>Aged</topic><topic>Allografts - diagnostic imaging</topic><topic>Allografts - pathology</topic><topic>Aneurysm, False - diagnostic imaging</topic><topic>Aneurysm, False - etiology</topic><topic>Aneurysm, False - microbiology</topic><topic>Aneurysm, False - pathology</topic><topic>Aortic Diseases - diagnosis</topic><topic>Aortic Diseases - diagnostic imaging</topic><topic>Aortic Diseases - microbiology</topic><topic>Aortic Diseases - pathology</topic><topic>Aortic homograft</topic><topic>Clostridiales - classification</topic><topic>Clostridiales - genetics</topic><topic>Clostridiales - isolation & purification</topic><topic>DNA, Bacterial - chemistry</topic><topic>DNA, Bacterial - genetics</topic><topic>DNA, Ribosomal - chemistry</topic><topic>DNA, Ribosomal - genetics</topic><topic>Gram-Positive Bacterial Infections - diagnosis</topic><topic>Gram-Positive Bacterial Infections - microbiology</topic><topic>Gram-Positive Bacterial Infections - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Mycotic pseudoaneurysm</topic><topic>Positron Emission Tomography Computed Tomography</topic><topic>RNA, Ribosomal, 16S - genetics</topic><topic>Robinsoniella peoriensis</topic><topic>Sequence Analysis, DNA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mertes, H.</creatorcontrib><creatorcontrib>Defourny, L.</creatorcontrib><creatorcontrib>Tré-Hardy, M.</creatorcontrib><creatorcontrib>Lhommel, R.</creatorcontrib><creatorcontrib>El Khoury, G.</creatorcontrib><creatorcontrib>Rodriguez-Villalobos, H.</creatorcontrib><creatorcontrib>Belkhir, L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anaerobe</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mertes, H.</au><au>Defourny, L.</au><au>Tré-Hardy, M.</au><au>Lhommel, R.</au><au>El Khoury, G.</au><au>Rodriguez-Villalobos, H.</au><au>Belkhir, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First Robinsoniella peoriensis aortic cross homograft mycotic pseudoaneurysm: A case report and review of the literature</atitle><jtitle>Anaerobe</jtitle><addtitle>Anaerobe</addtitle><date>2017-04</date><risdate>2017</risdate><volume>44</volume><spage>23</spage><epage>26</epage><pages>23-26</pages><issn>1075-9964</issn><eissn>1095-8274</eissn><abstract>Mycotic aortic aneurysm is a rare and challenging complication of aortic homografts caused by an infection and is associated with high morbidity and mortality.
We report the first case of an aortic cross homograft mycotic pseudoaneurysm caused by Robinsoniella peoriensis in a 70-year-old man. Our patient underwent surgery for a recurrence of aortic cross mycotic pseudoaneurysm at the level of the aortic homograft he had had 7 years before. A clot-removal of the pseudoaneurysm was surgically carried out and the homograft was completely removed. Anaerobic culture from tissue samples yielded pure growth of a spore-forming Gram-positive rod, identified later as Robinsoniella peoriensis by 16S rRNA gene sequencing. The patient was then discharged with oral clindamycin according to the in vitro susceptibility testing.
Identification of R. peoriensis might be challenging in clinical laboratories with no access to molecular methods.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28043924</pmid><doi>10.1016/j.anaerobe.2016.12.014</doi><tpages>4</tpages></addata></record> |
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| subjects | 16S rRNA gene sequencing Aged Allografts - diagnostic imaging Allografts - pathology Aneurysm, False - diagnostic imaging Aneurysm, False - etiology Aneurysm, False - microbiology Aneurysm, False - pathology Aortic Diseases - diagnosis Aortic Diseases - diagnostic imaging Aortic Diseases - microbiology Aortic Diseases - pathology Aortic homograft Clostridiales - classification Clostridiales - genetics Clostridiales - isolation & purification DNA, Bacterial - chemistry DNA, Bacterial - genetics DNA, Ribosomal - chemistry DNA, Ribosomal - genetics Gram-Positive Bacterial Infections - diagnosis Gram-Positive Bacterial Infections - microbiology Gram-Positive Bacterial Infections - pathology Humans Male Mycotic pseudoaneurysm Positron Emission Tomography Computed Tomography RNA, Ribosomal, 16S - genetics Robinsoniella peoriensis Sequence Analysis, DNA |
| title | First Robinsoniella peoriensis aortic cross homograft mycotic pseudoaneurysm: A case report and review of the literature |
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