Mycotic aneurysm of the suprarenal aorta secondary to Streptococcus pneumoniae: an unusual pathogen.
Mycotic aneurysms of the suprarenal aorta are rare lesions, accounting for less than 1% of aortic reconstructions for aneurysmal disease. The bacteriology of these lesions differs from the infrarenal aneurysms and primarily consists of Gram-negative organisms. We report an unusual case of an 87-year-old man successfully treated for a ruptured mycotic suprarenal aortic aneurysm caused by Streptococcus pneumoniae. We have not seen a previously reported case where this pathogen has been associated with a suprarenal mycotic aneurysm. The unique bacteriology of these aneurysms is reviewed along with theories of etiology and their classification. The current management of these aneurysms is summarized.
Gelabert
H A
HA
Division of Vascular Surgery, UCLA School of Medicine 90024-6904.
Quinones-Baldrich
W J
WJ
D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000473:pathology; D001014:Aortic Aneurysm / Q000473:pathology; D006801:Humans; D007668:Kidney; D008297:Male; D011008:Pneumococcal Infections / Q000473:pathology