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Infectious aortitis due to penicillin-resistant Streptococcus pneumoniae
A C Maclennan1, D L Doyle, S L Sacks
1Department of Radiology, Vancouver Hospital and Health Sciences Centre, UBC Pavilions, British Columbia, Canada.
Annals of Vascular Surgery
|September 25, 1997
Abstract:
Infectious aortitis is uncommon and typically affects elderly immunocompromised men, with a Salmonella or Staphylococcal infection of an atheromatous or aneurysmal aorta. We present a fit young man who developed infectious aortitis with peripheral embolization due to a penicillin-resistant Streptococcus pneumoniae bacteremia.
Insights
Infectious aortitis is rare, usually affecting older men. This case highlights a young, healthy man with infectious aortitis caused by penicillin-resistant Streptococcus pneumoniae.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Aortic Pathology
Background:
- Infectious aortitis is an uncommon condition, predominantly affecting elderly, immunocompromised males.
- Typical causative agents include Salmonella and Staphylococcus species, often associated with pre-existing aortic conditions like atherosclerosis or aneurysms.
Observation:
- A case of infectious aortitis in a young, otherwise healthy male is presented.
- The patient experienced peripheral embolization as a complication.
Findings:
- The causative agent was identified as penicillin-resistant Streptococcus pneumoniae bacteremia.
- This contrasts with the typical demographic and etiology of infectious aortitis.
Implications:
- This case expands the known spectrum of infectious aortitis presentation and causative organisms.
- Highlights the importance of considering less common pathogens and patient profiles in diagnosing infectious aortitis.
- Emphasizes the potential for severe complications like peripheral embolization even in young, fit individuals.