title: Aortic graft infection and mycotic aneurysm with Streptococcus equi zooepidemicus: two cases with favorable outcome of antibiotic treatment.
abstract: Infections with Streptococcus equi zooepidemicus are rare and are associated with contact with animals or animal products. There are very few reports about infected vascular grafts or aneurysms with this etiology. We present two patients. The first is a 77-year-old man with an infected bifurcated graft four years after an open operation for an abdominal aortic aneurysm (AAA). The second is a 72-year-old man with a symptomatic mycotic AAA, treated with endovascular aneurysm repair. Both received prolonged treatment with bactericidal antibiotics and responded well. Follow-up time at present is 5.5 years for the first, and 4.5 years for the second, patient.
authors.affiliation: Department of Vascular Surgery, St Olavs Hospital, Trondheim, Norway. martin.altreuther@stolav.no
authors.forename: Martin
authors.initials: M
authors.lastname: Altreuther
authors.forename: Conrad
authors.initials: C
authors.lastname: Lange
authors.forename: Hans Olav
authors.initials: HO
authors.lastname: Myhre
authors.forename: Raisa
authors.initials: R
authors.lastname: Hannula
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D004322:Drainage; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006736:Horses; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission; D018502:Streptococcus equi / Q000302:isolation & purification*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015047:Zoonoses
chemical_list: D000900:Anti-Bacterial Agents