title: Infected abdominal aortic aneurysm due to penicillin-, ceftriaxone-, and cefotaxime-resistant Streptococcus pneumoniae.
abstract: The clinical course for a patient hospitalized with pneumonia and meningitis due to penicillin-, ceftriaxone-, and cefotaxime-resistant Streptococcus pneumoniae is described. The pneumonia and meningitis responded to antimicrobial therapy, but the patient died following rupture of an infected abdominal aortic aneurysm; gram-positive cocci resembling S. pneumoniae were detected within the aneurysm.
authors.affiliation: Department of Pathology, University of Missouri, Kansas City, USA.
authors.forename: W E
authors.initials: WE
authors.lastname: Albrecht
authors.forename: C J
authors.initials: CJ
authors.lastname: Papasian
authors.forename: D M
authors.initials: DM
authors.lastname: Bamberger
authors.forename: R
authors.initials: R
authors.lastname: Fiorella
authors.forename: S W
authors.initials: SW
authors.lastname: Riddell
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000209:etiology* / Q000382:microbiology; D002439:Cefotaxime / Q000494:pharmacology*; D002443:Ceftriaxone / Q000494:pharmacology*; D002511:Cephalosporins / Q000494:pharmacology*; D004352:Drug Resistance, Microbial; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000382:microbiology; D008875:Middle Aged; D010406:Penicillins / Q000494:pharmacology*; D011018:Pneumonia, Pneumococcal / Q000150:complications* / Q000382:microbiology; D013296:Streptococcus pneumoniae / Q000187:drug effects / Q000302:isolation & purification*
chemical_list: D002511:Cephalosporins; D010406:Penicillins; D002443:Ceftriaxone; D002439:Cefotaxime