title: Probable zoonotic aortitis due to group C streptococcal infection.
abstract: Human infections due to group C streptococcus (SGC) are unusual. Among them, vascular compromise, especially aortic involvement, is extremely rare. A case of microbial aortitis with aneurysm formation, likely secondary to a SGC soft tissue infection, in a 61-year-old patient who was caring for a purulent leg wound of his horse, is presented. He was successfully treated with antibiotics and in situ aortic replacement with a prosthetic graft and an omental wrap. He remains well almost 2 years after surgical intervention. Aortic infection caused by SGC is a rare condition that can be successfully treated with in situ prosthetic graft replacement.
authors.affiliation: Vascular Surgery Section, the University of Arizona Health Science Center and the Southern Arizona Veteran Affairs Health Care System, Tucson, AZ 85723, USA.
authors.forename: Andres J
authors.initials: AJ
authors.lastname: Gonzales
authors.forename: John D
authors.initials: JD
authors.lastname: Hughes
authors.forename: Luis R
authors.initials: LR
authors.lastname: Leon
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D000818:Animals; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001025:Aortitis / Q000188:drug therapy / Q000382:microbiology*; D019917:Blood Vessel Prosthesis Implantation; D006734:Horse Diseases / Q000382:microbiology*; D006736:Horses; D006801:Humans; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000382:microbiology* / Q000635:transmission; D014057:Tomography, X-Ray Computed; D014640:Vancomycin / Q000627:therapeutic use; D015047:Zoonoses / Q000382:microbiology*
chemical_list: D014640:Vancomycin