[Mycotic aneurysm of bronchial artery. Apropos of a case in an infant].
The authors report the case of a 15 day old neonate presenting a beta hemolitic streptococic (group A) infection, followed by cardio-respiratory failure and radiological opacification of the left superior lobe associated with ventilatory troubles at the left lung base. Massive hemoptysis made an angiographic study mandatory with the diagnosis of a mediastinal vascular tumor placed besides the left descending aorta with compression of the left bronchovasculary pedicule. Tumor ressection was not possible during surgical exploration and a left superior lobectomy was performed. Histological examination showed pulmonary infarctus. The child died a few weeks later. Autopsy revealed mycotic arterial aneurysm of the superior bronchic artery, a very rare lesion considering its localisation and the age of the patient.
D000785:Aneurysm, Infected / Q000150:complications*; D001981:Bronchial Arteries; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases; D012131:Respiratory Insufficiency / Q000209:etiology; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes
Anévrysme mycotique d'une artère bronchique. A propos d'un cas chez un nourrisson.