Infectious aortitis with multiple mycotic aneurysms caused by Streptococcus agalactiae

Luc Cozijnsen; Badyr Marsaoui; Richard L Braam; Björn E Groenemeijer; Babette C van Hees; Joost J Kardux; Nils P J Vogtländer; Marc A A M Schepens

doi:10.1016/j.avsg.2012.10.027

Infectious aortitis with multiple mycotic aneurysms caused by Streptococcus agalactiae

Ann Vasc Surg. 2013 Oct;27(7):975.e7-975.e13. doi: 10.1016/j.avsg.2012.10.027. Epub 2013 Jul 26.

Authors

Luc Cozijnsen¹, Badyr Marsaoui, Richard L Braam, Björn E Groenemeijer, Babette C van Hees, Joost J Kardux, Nils P J Vogtländer, Marc A A M Schepens

Affiliation

¹ Department of Cardiology, Gelre Hospital, Apeldoorn, The Netherlands. [email protected]

PMID: 23891254
DOI: 10.1016/j.avsg.2012.10.027

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.

Publication types

Case Reports
Review
Video-Audio Media

MeSH terms

Aged
Aneurysm, Infected / diagnosis
Aneurysm, Infected / microbiology*
Aneurysm, Infected / therapy
Anti-Bacterial Agents / therapeutic use
Aortic Aneurysm / diagnosis
Aortic Aneurysm / microbiology*
Aortic Aneurysm / therapy
Aortitis / diagnosis
Aortitis / microbiology*
Aortitis / therapy
Aortography / methods
Blood Vessel Prosthesis Implantation
Echocardiography, Transesophageal
Humans
Male
Streptococcal Infections / diagnosis
Streptococcal Infections / microbiology*
Streptococcal Infections / therapy
Streptococcus agalactiae / isolation & purification*
Tomography, X-Ray Computed
Treatment Outcome

Substances

Anti-Bacterial Agents