title: Ruptured inflammatory aortic aneurysm with aortoenteric fistula and infected with Streptococcus pneumoniae: a review of the literature.
abstract: We present a case report of a 65-year-old gentleman who presented with an aortoenteric fistula along with a review of the literature. He was found, in addition, to have an inflammatory infrarenal aortic aneurysm with a posterior rupture. Cultures of the aneurysm sac confirmed a Streptococcus pneumoniae infection. The patient had previously presented with pneumonia. Antibody testing revealed an isolated pneumococcal IgG deficiency. The case demonstrates the diverse pathologies associated with aortic aneurysms and a need to be vigilant and occasionally expect the unusual.
authors.affiliation: Department of Vascular Surgery, University Hospital Birmingham NHS Trust, Selly Oak Hospital, Raddlebarn Road, Selly Oak, Birmingham, B29 6JD UK.
authors.forename: M
authors.initials: M
authors.lastname: Sintler
authors.forename: N
authors.initials: N
authors.lastname: Howell
authors.forename: A
authors.initials: A
authors.lastname: Mahmood
authors.forename: R K
authors.initials: RK
authors.lastname: Vohra
keywords: Abdominal aorta; Aneurysm; Aortoenteric; Fistula; Inflammatory aneurysm; Mycotic; Streptococcus pneumoniae