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Catastrophic Perforation in Streptococcus Pneumoniae Aortitis: Complications of Infective Endocarditis in the Current

Sana Shaikh1, Jorge I Peña Garcia2, Michelle Shieh3

  • 1Division of Nephrology, Washington University School of Medicine, St. Louis, MO 63117, USA.

Journal of Community Hospital Internal Medicine Perspectives
|June 17, 2022
PubMed

Insights

Infectious aortitis, often secondary to infective endocarditis, presents diagnostic challenges due to non-specific symptoms. This case highlights the critical need for prompt diagnosis and management of this life-threatening condition.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Infectious aortitis is a rare but severe condition affecting the aorta.
  • Diagnosis can be challenging due to vague symptoms and limitations of diagnostic tests.

Observation:

  • A young woman presented with fever, back pain, and malaise, later diagnosed with infectious aortitis.
  • The aortitis was secondary to Streptococcus pneumoniae infective endocarditis.

Findings:

  • Computerized tomography angiography is a sensitive imaging modality for diagnosing infectious aortitis.
  • Blood cultures can aid diagnosis but have a low positive predictive value.

Implications:

  • Prompt antimicrobial therapy and surgical intervention are crucial for managing infectious aortitis.
  • High operative mortality is associated with infectious aortitis due to compromised aortic wall integrity.
  • This case underscores the aggressive nature of infectious aortitis, even with appropriate treatment.
Keywords:
AntimicrobialsAortic perforationAortitisInfectious aortitisInfective endocarditisInvasive pneumococcal diseaseStreptococcus pneumoniaeSurgery

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