Propensity of Streptococcus pneumoniae for the aorta. Report of 3 cases.
Streptococcus pneumoniae was the unsuspected cause of a ruptured aortic aneurysm in 3 patients, as confirmed by culture of specimens obtained during surgery. A 60-y-old woman had a recently diagnosed saccular aortic aneurysm and presented with symptoms indicating a vascular catastrophe. A 66-y-old man and a 69-y-old woman were both admitted with pyrexia and abdominal pain and proper diagnosis was delayed for 4 and 15 d, respectively. All 3 patients were treated with graft insertion and antibiotic therapy for 3 months and recovered fully.
Steig
T A
TA
Department of Clinical Microbiology, Aalborg Hospital, Denmark. tas2@mail.tele.dk
Johannesen
N
N
Schønheyder
H C
HC
D000368:Aged; D000785:Aneurysm, Infected / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001019:Aortic Rupture / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000150:complications*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification