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Published on: September 28, 2015
Infectious aortitis with multiple mycotic aneurysms caused by Streptococcus agalactiae.
Luc Cozijnsen1, Badyr Marsaoui, Richard L Braam
1Department of Cardiology, Gelre Hospital, Apeldoorn, The Netherlands. l.cozijnsen@gelre.nl
Annals of Vascular Surgery
|July 30, 2013
Summary
This study details a rare case of thoracoabdominal mycotic aortic aneurysms caused by Streptococcus agalactiae. Treatment involved antibiotics and surgery, highlighting a successful intervention for this serious condition.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Mycotic aortic aneurysms are rare but life-threatening conditions.
- Infectious aortitis (IA) requires prompt diagnosis and management.
- Streptococcus agalactiae (S agalactiae) is an uncommon pathogen for IA.
Observation:
- A 66-year-old man presented with multiple thoracoabdominal mycotic aortic aneurysms.
- Diagnosis was confirmed via transesophageal echocardiography, CT, and positive blood cultures.
- Initial antibiotic treatment was followed by surgical intervention due to disease progression.
Findings:
- The case highlights S agalactiae as a causative agent of IA.
- Successful surgical management was achieved after medical therapy failure.
- A literature review identified 7 additional cases of IA caused by S agalactiae.
Implications:
- This case expands the understanding of IA etiology, particularly concerning S agalactiae.
- It underscores the importance of considering less common pathogens in IA.
- The successful surgical outcome suggests a viable treatment option for complex cases.
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