[Unusual cause of Staphylococcus aureus septicemia in a 79-year-old male patient].
High grade fever in the context of Staphylococcus aureus bacteremia led to hospital admission of a 79 year old male patient. A covered perforation of the ascending aorta resulted in the formation of a pseudoaneurysm which was complicated by superinfection caused by hematogenic spread of Staphylococcus aureus. The infected pseudoaneurysm found per continuitatem contact to the pericardium and resulted in bacterial pericarditis. Antibiotic pretreatment was followed by operation with a complex procedure including resection of pseudoaneurysm and suture closure of the perforation site.
Klinik für Innere Medizin I, Heinrich-Braun-Klinikum Zwickau gGmbH, Zwickau, Deutschland. Holger.Sigusch@hbk-zwickau.de
H H
HH
Sigusch
B
B
Zimmermann
F
F
Lessig
J
J
Thalwitzer
U F W
UF
Franke
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000785:Aneurysm, Infected / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001019:Aortic Rupture / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D016470:Bacteremia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D020519:Pericardiocentesis; D010493:Pericarditis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015163:Superinfection / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents