An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic Aneurysm
A 70-year-old male with a complex past medical history presents with confusion and slurred speech for 24 hours. His exam was unremarkable, and his CT head was negative. Both his C-reactive protein and white blood cell count were elevated. As part of the delirium workup, blood cultures were done whic...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2019/3035494 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556210894667776 |
|---|---|
| author | Ali Someili Anjali Shroff |
| author_facet | Ali Someili Anjali Shroff |
| author_sort | Ali Someili |
| collection | DOAJ |
| description | A 70-year-old male with a complex past medical history presents with confusion and slurred speech for 24 hours. His exam was unremarkable, and his CT head was negative. Both his C-reactive protein and white blood cell count were elevated. As part of the delirium workup, blood cultures were done which grew Streptococcus pyogenes with no obvious source. He was treated with appropriate antibiotics. To determine the source, a white blood cell scan was done, which showed increased localization within a left-sided upper mediastinum mass. Subsequently, chest CT scan with contrast showed an acute type B aortic dissection with mycotic aneurysm. Consequently, he was taken urgently for surgical management. He completed 6 weeks of penicillin G and was discharged to a rehabilitation center. This case illustrates both a rare entity, mycotic aneurysm secondary to Streptococcus pyogenes, and the importance of getting an Infectious Diseases consult in the setting of an unknown source of bacteremia. |
| format | Article |
| id | doaj-art-aad52b51e6f74bd1bd83a3c979fbeed2 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-aad52b51e6f74bd1bd83a3c979fbeed22025-02-03T05:46:06ZengWileyCase Reports in Infectious Diseases2090-66252090-66332019-01-01201910.1155/2019/30354943035494An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic AneurysmAli Someili0Anjali Shroff1Department of Medicine, McMaster University, 1280 Main St W, Hamilton, ON L8S 4L8, CanadaDivision of Infectious Diseases, Department of Medicine, McMaster University, 1280 Main St W, Hamilton, ON L8S 4L8, CanadaA 70-year-old male with a complex past medical history presents with confusion and slurred speech for 24 hours. His exam was unremarkable, and his CT head was negative. Both his C-reactive protein and white blood cell count were elevated. As part of the delirium workup, blood cultures were done which grew Streptococcus pyogenes with no obvious source. He was treated with appropriate antibiotics. To determine the source, a white blood cell scan was done, which showed increased localization within a left-sided upper mediastinum mass. Subsequently, chest CT scan with contrast showed an acute type B aortic dissection with mycotic aneurysm. Consequently, he was taken urgently for surgical management. He completed 6 weeks of penicillin G and was discharged to a rehabilitation center. This case illustrates both a rare entity, mycotic aneurysm secondary to Streptococcus pyogenes, and the importance of getting an Infectious Diseases consult in the setting of an unknown source of bacteremia.http://dx.doi.org/10.1155/2019/3035494 |
| spellingShingle | Ali Someili Anjali Shroff An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic Aneurysm Case Reports in Infectious Diseases |
| title | An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic Aneurysm |
| title_full | An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic Aneurysm |
| title_fullStr | An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic Aneurysm |
| title_full_unstemmed | An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic Aneurysm |
| title_short | An Unusual Case of Streptococcus pyogenes Causing Ruptured Aortic Mycotic Aneurysm |
| title_sort | unusual case of streptococcus pyogenes causing ruptured aortic mycotic aneurysm |
| url | http://dx.doi.org/10.1155/2019/3035494 |
| work_keys_str_mv | AT alisomeili anunusualcaseofstreptococcuspyogenescausingrupturedaorticmycoticaneurysm AT anjalishroff anunusualcaseofstreptococcuspyogenescausingrupturedaorticmycoticaneurysm AT alisomeili unusualcaseofstreptococcuspyogenescausingrupturedaorticmycoticaneurysm AT anjalishroff unusualcaseofstreptococcuspyogenescausingrupturedaorticmycoticaneurysm |