title: Group B streptococcal (GBS) bacteremia with mycotic thoracic aortic aneurysm and suppurative pericardial effusion.
abstract: Mycotic aortic aneurysm associated with suppurative pericardial effusion is a rare and serious clinical phenomenon that is linked with significant morbidity and mortality. We report a case of a 78-year-old man who presented with purulent pericardial effusion with tamponade physiology in association with a progressively enlarging, transverse aortic arch, mycotic aneurysm due to group B streptococci. To our knowledge, this is only the second reported case of this nature. Despite advances in the current era of antibiotics and surgical techniques, early diagnosis and aggressive treatment remain sentinel to successful management of the cardiovascular complications of group B streptococcus bacteremia.
authors.affiliation: University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.
authors.forename: Brent
authors.initials: B
authors.lastname: Matsuda
authors.affiliation: University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.
authors.forename: Aaron
authors.initials: A
authors.lastname: Hoo
authors.affiliation: University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.
authors.forename: Ornusa
authors.initials: O
authors.lastname: Teerasukjinda
authors.affiliation: University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.
authors.forename: Heath
authors.initials: H
authors.lastname: Chung
authors.affiliation: University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.
authors.forename: Jinichi
authors.initials: J
authors.lastname: Tokeshi
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000209:etiology* / Q000382:microbiology; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology* / Q000382:microbiology; D016470:Bacteremia / Q000209:etiology* / Q000382:microbiology; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology; D013292:Streptococcus agalactiae / Q000472:pathogenicity*; D013492:Suppuration / Q000209:etiology / Q000382:microbiology