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Abdominal Aortitis due to Streptococcus pneumoniae and Enterobacter aerogenes A Case Report and Review

机译:肺炎链球菌和产气肠杆菌引起的腹主动脉炎一例报告与综述

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摘要

Endovascular infections are 1 cause of fever of unknown origin. We describe a diagnostically challenging case of cryptogenic abdominal aortitis from Streptococcus pneumoniae and Enterobacter aerogenes. A 72-year-old male presented with epigastric pain, fevers, and chills. A computed tomography scan demonstrated enlargement and ulceration of the distal abdominal aorta, prompting urgent vascular surgery. Intraoperative tissue cultures grew S. pneumoniae and E. aerogenes and gatifloxacin was administered for 6 weeks. Spontaneous abdominal aortitis is uncommon and usually due to a single pathogen. This is the second reported case of polymicrobial infectious aortitis and to date, Enterobacter has only been reported in infected aortic grafts. Clinicians should maintain a high index of suspicion for infectious aortitis as the mortality, if only treated medically, approaches 100%.
机译:血管内感染是原因不明的发热的1个原因。我们描述了从肺炎链球菌和产气肠杆菌的隐源性腹主动脉炎的诊断具有挑战性的情况。一名72岁的男性出现上腹部疼痛,发烧和发冷。计算机断层扫描显示腹部远端主动脉增大和溃疡,促使进行紧急血管外科手术。术中组织培养生长了肺炎链球菌和产气链球菌,加替沙星给药6周。自发性腹主动脉炎并不常见,通常是由单一病原体引起的。这是第二例报告的微生物感染性主动脉炎,迄今为止,仅在受感染的主动脉移植物中报告了肠杆菌。临床医师应保持对传染性主动脉炎的高度怀疑,因为如果仅进行药物治疗,其死亡率将接近100%。

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