title: Aortic rupture due to pneumococcal infection in aortoiliac stents.
abstract: We report a rare case of pneumococcal aortitis secondary to endovascular bare-metal stent infection. The patient was a 70-year-old man presenting with back pain 1 year after aortoiliac implantation of bare-metal kissing stents. Final diagnosis was microbial aortitis due to Streptococcus pneumoniae involving the stents that resulted in a contained aortic rupture requiring urgent surgical treatment. Emergency extra-anatomic revascularization, excision of the infected tissues, and appropriate antibiotic therapy led to a favorable outcome. A high index of suspicion is required in such a situation because the mortality rate is very high in the absence of appropriate treatment.
authors.affiliation: Service de Chirurgie Vasculaire et Thoracique, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Université Paris 7, Paris, France.
authors.forename: Amélie
authors.initials: A
authors.lastname: Mlynski
authors.forename: Pierre
authors.initials: P
authors.lastname: Mordant
authors.forename: Guillaume
authors.initials: G
authors.lastname: Dufour
authors.forename: Pascal
authors.initials: P
authors.lastname: Augustin
authors.forename: Guy
authors.initials: G
authors.lastname: Lesèche
authors.forename: Yves
authors.initials: Y
authors.lastname: Castier
mesh_terms: D000368:Aged; D001019:Aortic Rupture / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D001025:Aortitis / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D011008:Pneumococcal Infections / Q000150:complications; D016459:Prosthesis-Related Infections / Q000382:microbiology* / Q000601:surgery; D015607:Stents / Q000009:adverse effects*; D013296:Streptococcus pneumoniae; D016896:Treatment Outcome