title: Infectious aortitis with multiple mycotic aneurysms caused by Streptococcus agalactiae.
abstract: We report a case of a 66-year-old man with multiple thoracoabdominal mycotic aortic aneurysms caused by Streptococcus agalactiae (S agalactiae). The infectious aortitis (IA) was diagnosed by transesophageal echocardiography and computed tomography and confirmed by positive blood cultures. The patient was treated with antibiotics, but, after worsening of the aortitis, a successful surgical procedure was performed. A review of the literature is presented together with a series of 7 other cases of IA caused by S agalactiae.
authors.affiliation: Department of Cardiology, Gelre Hospital, Apeldoorn, The Netherlands. l.cozijnsen@gelre.nl
authors.forename: Luc
authors.initials: L
authors.lastname: Cozijnsen
authors.forename: Badyr
authors.initials: B
authors.lastname: Marsaoui
authors.forename: Richard L
authors.initials: RL
authors.lastname: Braam
authors.forename: Björn E
authors.initials: BE
authors.lastname: Groenemeijer
authors.forename: Babette C
authors.initials: BC
authors.lastname: van Hees
authors.forename: Joost J
authors.initials: JJ
authors.lastname: Kardux
authors.forename: Nils P J
authors.initials: NP
authors.lastname: Vogtländer
authors.forename: Marc A A M
authors.initials: MA
authors.lastname: Schepens
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D001025:Aortitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents