Lumbar vertebral osteomyelitis with mycotic abdominal aortic aneurysm caused by highly penicillin-resistant Streptococcus pneumoniae.
We present a case of vertebral osteomyelitis with an adjacent abdominal aortic mycotic aneurysm caused by a highly penicillin-resistant Streptococcus pneumoniae strain. The occurrence of all three phenomena in a single patient has not been previously described. This presentation offers the opportunity to reflect on the increasing incidence of S. pneumoniae as a resistant pathogen, the treatment of highly penicillin-resistant S. pneumoniae, and the etiologic agents of both vertebral osteomyelitis and mycotic aneurysm.
Naktin
J
J
I.D. Care, Inc., Randolph, New Jersey 07869, USA.
DeSimone
J
J
D000785:Aneurysm, Infected / Q000382:microbiology*; D017544:Aortic Aneurysm, Abdominal / Q000382:microbiology; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D008875:Middle Aged; D010019:Osteomyelitis / Q000382:microbiology*; D010403:Penicillin Resistance; D011008:Pneumococcal Infections / Q000382:microbiology* / Q000473:pathology; D013296:Streptococcus pneumoniae / Q000187:drug effects*