Streptococcus pneumoniae-infected aneurysm extending from a persistent lobar pneumonia: case report and review of the literature.
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.
Nijs
A
A
Department of Clinical Laboratory, Virga Jesseziekenhuis, Stadsomvaart 11, 3500 Hasselt, Belgium.
Vandekerkhof
J
J
Cartuyvels
R
R
Magerman
K
K
Mewis
A
A
Peeters
V
V
Rummens
J L
JL
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
D010406:Penicillins; D010400:Penicillin G