title: Streptococcus pneumoniae-infected aneurysm extending from a persistent lobar pneumonia: case report and review of the literature.
abstract: Presented here is the case of a 63-year-old patient with a Streptococcus pneumoniae-infected aneurysm extending from a persistent lobar pneumonia of the left lung into the thoracic aorta. The patient was successfully treated with surgery and high-dose penicillin, and he remained well at 6-month follow-up. A review of the English-language literature over the past 25 years revealed 22 cases of mycotic or infected aortic aneurysms due to Streptococcus pneumoniae; however, none of these cases resulted in a positive outcome for the patient. The characteristics of these cases are discussed.
authors.affiliation: Department of Clinical Laboratory, Virga Jesseziekenhuis, Stadsomvaart 11, 3500 Hasselt, Belgium.
authors.forename: A
authors.initials: A
authors.lastname: Nijs
authors.forename: J
authors.initials: J
authors.lastname: Vandekerkhof
authors.forename: R
authors.initials: R
authors.lastname: Cartuyvels
authors.forename: K
authors.initials: K
authors.lastname: Magerman
authors.forename: A
authors.initials: A
authors.lastname: Mewis
authors.forename: V
authors.initials: V
authors.lastname: Peeters
authors.forename: J L
authors.initials: JL
authors.lastname: Rummens
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D001012:Aorta, Abdominal / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D011008:Pneumococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification
chemical_list: D010406:Penicillins; D010400:Penicillin G