title: Multiple mycotic aortic aneurysms due to Streptococcus pneumoniae.
abstract: Primary pneumococcal aortic mycotic aneurysms are rare clinical entities. Only a few cases have been reported in the literature. Extremely rare presentation is the occurrence of three simultaneous aneurysms. Treatment usually necessitates intravenous antibiotherapy combined with staged surgical interventions. This report highlights the case of a 52-year-old man with multiple Streptococcus pneumoniae mycotic aneurysms that were simultaneously and successfully treated during a one-stage surgical procedure. The aorta may be prone to infection, especially when its intima is structurally altered by pathologic processes like atherosclerosis, inflammation or trauma. Mycotic aneurysm is a rare but serious vascular condition needing urgent medical and surgical attention because of potential lethal complications.
authors.affiliation: Department of Vascular Surgery, CHUM-Hotel-Dieu, University of Montreal, Canada. macoutu@sympatico.ca
authors.forename: Marianne
authors.initials: M
authors.lastname: Coutu
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Blair
mesh_terms: D000785:Aneurysm, Infected / Q000382:microbiology / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000382:microbiology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000150:complications*; D013296:Streptococcus pneumoniae; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents