A rare case of Streptococcus agalactiae mycotic aneurysm and review of the literature

Ledochowski, Stanislas; Jacob, X.; Friggeri, Arnaud

doi:10.1007/s15010-013-0576-y

Cited by 6 publications

(8 citation statements)

References 20 publications

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“…Multiple mycotic aneurysms were found in 23% of patients with bacterial endocarditis; however, this report was before the use of antibiotics and valve replacement surgery 10 . Antibiotic therapy has dramatically decreased the incidence of mycotic aneurysms 11 . At this time, there are no recommendations on surveillance imaging of other arterial trees in patients with a single mycotic aneurysm.…”

Section: Discussionmentioning

confidence: 85%

Open surgical ligation of a symptomatic mycotic aneurysm of the peroneal artery

Silver

Ferranti

Radtka

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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A mycotic peroneal artery aneurysm (MPAA) is a rare diagnosis. We describe a case of a patient with active fungal endocarditis who developed right lower extremity pain. Imaging demonstrated that this patient had an MPAA. This was treated with open ligation of the peroneal artery, and decompression of the aneurysm sac was performed for symptom relief. Although a rare diagnosis, MPAA should be considered in patients with a history of endocarditis who present with leg pain.

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Section: Discussionmentioning

confidence: 85%

Open surgical ligation of a symptomatic mycotic aneurysm of the peroneal artery

Silver

Ferranti

Radtka

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…8 In total, there have been nine previously reported cases of mycotic AAAs due to GBS infection. [8][9][10][11][12][13][14][15][16] Only one of these was from North America. 12 Before the advent of antibiotics, the most common cause of mycotic AAAs was infectious endocarditis.…”

Section: Discussionmentioning

confidence: 99%

“… 8 In total, there have been nine previously reported cases of mycotic AAAs due to GBS infection. 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 Only one of these was from North America. 12…”

Section: Discussionmentioning

confidence: 99%

Cryopreserved venous allograft in the treatment of a mycotic abdominal aortic aneurysm caused by group B Streptococcus

Yan

Yang

2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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We report a case of a mycotic abdominal aortic aneurysm caused by invasive group B streptococcus. Given the anatomical suitability with healthy segments of aortoiliac vessels, in situ repair was performed. A cryopreserved femoral vein graft was chosen because of risks of graft reinfection and negated the need for bilateral femoral vein harvest. The patient remained clinically well and the graft patent with no concerns at 6 months of follow-up. A review of literature on group B Streptococcus aortitis was performed.

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“…MA is a rare disease characterized by elusive clinical presentation and high mortality rate [ 14 ]. The diffusion of antibiotic therapy in the clinical practice has reduced the incidence of MAs: actually infected aneurysms comprise 1-2.5% of all aortic aneurysms [ 15 ]. The typical feature of this pathologic entity is the destruction of the arterial wall caused by bacterial infection leading to vessel dilatation.…”

Section: Discussionmentioning

confidence: 99%

Streptococcus agalactiae infective endocarditis complicated by multiple mycotic hepatic aneurysms and massive splenic infarction: a case report

et al. 2017

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BackgroundThe burden of disease caused by Streptococcus agalactiae has increased significantly among older adults in the last decades. Group B streptococcus infection can be associated with invasive disease and severe clinical syndromes, such as meningitis and endocarditis.Case presentationWe present the case of a 56-year-old man who developed multiple mycotic aneurysms of the right hepatic artery and massive splenic infarction as rare complications of Streptococcus agalactiae infective endocarditis. The patient underwent urgent right hepatic artery ligation and splenectomy. The postoperative course was complicated by an episode of hemobilia due to the rupture of a partially thrombosed mycotic aneurysm into the biliary tree. Thus, selective radiological embolization of the left hepatic artery branches was necessary.ConclusionTo our knowledge, this is the first case reported of infected aneurysms of visceral arteries caused by Group B streptococcus infection. Clinical and laboratory findings were non-specific, while imaging features with computed tomography scan and angiography were highly suggestive. In our case, early recognition, culture-specific intravenous antibiotics and urgent surgical treatment combined with interventional radiology played a decisive role in the final result.

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A rare case of Streptococcus agalactiae mycotic aneurysm and review of the literature

Cited by 6 publications

References 20 publications

Open surgical ligation of a symptomatic mycotic aneurysm of the peroneal artery

Open surgical ligation of a symptomatic mycotic aneurysm of the peroneal artery

Cryopreserved venous allograft in the treatment of a mycotic abdominal aortic aneurysm caused by group B Streptococcus

Streptococcus agalactiae infective endocarditis complicated by multiple mycotic hepatic aneurysms and massive splenic infarction: a case report

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