Infect Chemother.
2005 Oct;37(5):307-310.
A Case of Aortitis Associated with Primary Streptococcus pneumoniae Bacteremia
- Affiliations
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- 1Department of Internal Medicine, Universitiy of Ulsan College of Medcine, Seoul, Korea. junheewoo@amc.seoul.kr
- 2Department of Laboratory Medicine, Asan Medical Center, Universitiy of Ulsan College of Medcine, Seoul, Korea.
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.
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