EJVES Extra
Volume 17, Issue 4 , Pages 43-44, April 2009

Streptococcal Mycotic Abdominal Aortic Aneurysm Rupture in an Asplenic Patient

  • T. Mitchell

      Affiliations

    • Department of Surgery, Warrington Hospital, Lovely Lane, Warrington, WA5 1QG, UK
    • Corresponding Author InformationCorresponding author. T. Mitchell, Department of Surgery, Warrington Hospital, Lovely Lane, Warrington, WA5, 1QG, UK. Tel.: +44 1606 881757.
    • Contributed equally to the preparation of the manuscript.
    • ,
  • L.J. Vitone

      Affiliations

    • Department of Surgery, Warrington Hospital, Lovely Lane, Warrington, WA5 1QG, UK
    • Division of Surgery and Oncology, University of Liverpool, Royal Liverpool University Hospital, Liverpool, L69 3GA, UK
    • Contributed equally to the preparation of the manuscript.
    • ,
  • R.F. Magennis

      Affiliations

    • Department of Radiology, Warrington Hospital, Lovely Lane, Warrington, WA5 1QG, UK
    • ,
  • P. Wake

      Affiliations

    • Department of Surgery, Warrington Hospital, Lovely Lane, Warrington, WA5 1QG, UK
    • ,
  • P. Moody

      Affiliations

    • Department of Surgery, Warrington Hospital, Lovely Lane, Warrington, WA5 1QG, UK

Received 23 August 2008; accepted 5 December 2008. published online 16 March 2009.

Abstract 

This study concerns a 69-year-old asplenic man who presented with abdominal pain and was found to have a contained rupture of a true infrarenal abdominal aortic aneurysm (AAA). Isolates of debrided aortic wall and swab cultures identified β-haemolytic Streptococci group A, a bacterium which typically causes pharyngeal and skin infections and may also initiate invasive infection associated with multi-organ failure. Following prompt surgical and antibiotic treatment, our patient was alive and well 6 weeks following surgery.

Keywords: Abdominal aorta, Mycotic aneurysm, Aortitis, β-Haemolytic Streptococci Lancefield group A, Asplenic, Endovascular

 

PII: S1533-3167(08)00038-1

doi:10.1016/j.ejvsextra.2008.12.002

Refers to article:

  • Streptococcal Mycotic Abdominal Aortic Aneurysm Rupture in an Asplenic Patient , 16 March 2009

    T. Mitchell, L.J. Vitone, R.F. Magennis, P. Wake, P. Moody
    European Journal of Vascular & Endovascular Surgery May 2009 (Vol. 37, Issue 5, Page 619)

EJVES Extra
Volume 17, Issue 4 , Pages 43-44, April 2009

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