Reference : Report of a case of Streptococcus agalactiae mycotic aneurysm and review of the literatu...
Scientific journals : Article
Human health sciences : Immunology & infectious disease
http://hdl.handle.net/2268/3933
Report of a case of Streptococcus agalactiae mycotic aneurysm and review of the literature.
English
Chandrikakumari, Kavitha [Centre Hospitalier Universitaire de Liège - CHU > > Maladies infectieuses et médecine interne générale > >]
Giot, Jean-Baptiste mailto [Centre Hospitalier Universitaire de Liège - CHU > > Maladies infectieuses et médecine interne générale >]
de Leval, Laurence mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anatomie pathologique >]
Creemers, Etienne [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie cardio-vasculaire >]
Leonard, Philippe mailto [Centre Hospitalier Universitaire de Liège - CHU > > Maladies infectieuses et médecine interne générale >]
Mukeba, Didier [> > > >]
Moutschen, Michel mailto [Université de Liège - ULg > Département des sciences cliniques > Immunopathologie - Transplantation >]
Frippiat, Frédéric mailto [Centre Hospitalier Universitaire de Liège - CHU > > Maladies infectieuses et médecine interne générale - Direction médicale >]
2008
International Journal of Surgical Pathology
Westminster Publications
16
3
314-9
Yes (verified by ORBi)
1066-8969
Glen Head
NY
[en] Aged ; Aneurysm, Infected/diagnosis/microbiology/therapy ; Anti-Infective Agents/therapeutic use ; Aorta, Abdominal/microbiology/pathology/surgery ; Aortic Aneurysm, Abdominal/microbiology/pathology/therapy ; Aza Compounds/therapeutic use ; Humans ; Male ; Quinolines/therapeutic use ; Streptococcal Infections/complications/pathology/therapy ; Streptococcus agalactiae/isolation & purification ; Tomography, X-Ray Computed ; Treatment Outcome
[en] A unique case of mycotic aneurysm of the abdominal aorta caused by Streptococcus agalactiae in an afebrile patient presenting with abdominal pain is described. Although this bacterium is associated with a variety of infections in human beings, aortitis is uncommon. Chronic alcoholism and diabetes mellitus are the 2 major predisposing conditions for group B Streptococci infection and both were present in this case. The abdominal pain and elevated inflammatory markers in the absence of fever were elusive in presentation; however, the diagnosis of mycotic aneurysm was established by abdominal computed tomography scan. The patient was treated successfully by resection of the diseased aorta and aortic allograft replacement. Culture of the excised tissue grew Streptococcus agalactiae sensitive to penicillin G and (other commonly tested antibiotics) fluoroquinolones. A prolonged course of moxifloxacin (for 6 months) was administered due to the persistence of elevated inflammatory markers and was remarkably well tolerated. Sixteen months after stopping the antibiotics, the patient is doing well, and the control imaging studies are satisfactory.
http://hdl.handle.net/2268/3933
10.1177/1066896907310304

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Restricted access
Chandrika IJSP.pdfPublisher postprint1.71 MBRequest copy

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.