title: Rupture of a smoldering mycotic aneurysm of the thoracic aorta into the lung.
abstract: A 65-year-old man was a diagnosed with meningitis and bacteremia, as Streptococcus pneumoniae was isolated from spinal fluid and blood cultures. After three weeks of antibiotic therapy, computed tomography revealed a ruptured aneurysm of the descending thoracic aorta. The aneurysm had appeared during the first episode of meningitis but had remained silent for two years. The patient underwent in situ Dacron graft replacement and his postoperative course was uneventful with no infectious complication.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Niigata City General Hospital, Niigata, Japan.
authors.forename: Mayumi
authors.initials: M
authors.lastname: Shinonaga
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kanazawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakazawa
authors.forename: Katsuo
authors.initials: K
authors.lastname: Yoshiya
authors.forename: Toshimi
authors.initials: T
authors.lastname: Ujiie
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Yamazaki
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008168:Lung; D008297:Male; D011008:Pneumococcal Infections / Q000209:etiology*; D011859:Radiography; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*