A Case of Aortitis Associated with Primary Streptococcus pneumoniae Bacteremia.
- Author:
Min Hyok JEON
1
;
Ok Bae KO
;
Woo Jin JEONG
;
Young Jun CHOI
;
Jung Hun LEE
;
Sang Ho CHOI
;
Mi Na KIM
;
Yang Soo KIM
;
Jun Hee WOO
;
Jiso RYU
Author Information
1. Department of Internal Medicine, Universitiy of Ulsan College of Medcine, Seoul, Korea. junheewoo@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Streptococcus pneumoniae;
Aortitis
- MeSH:
Aged;
Aorta, Thoracic;
Aortitis*;
Bacteremia*;
Female;
Hemorrhage;
Humans;
Korea;
Salmonella;
Sepsis;
Staphylococcus aureus;
Streptococcus pneumoniae*;
Streptococcus*;
Transplants
- From:
Infection and Chemotherapy
2005;37(5):307-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bacterial aortitis is rare and without surgical intervention, it usually leads to uncontrolled sepsis or catastrophic hemorrhage, ultimately, resulting in death. In the postantibiotic era, the dominant infecting organisms are Staphylococcus aureus and Salmonella spp.. In spite of frequent pneumococcal bacteremia, vascular seeding is rare and there is only one published report in Korea. We describe a 77-year-old female with primary pneumococcal bacteremia followed by aortitis of the descending aorta, which was successfully treated by aneurysmectomy, wide excision of periaortic tissue, aortobiiliac bypass via prosthetic graft, and antibiotic therapy.
