Infected abdominal aorta aneurysm secondary to streptococcal toxic shock syndrome due to Streptococcus pyogenes: a case report from Japan

Taniguchi, Shiho; Sato, Yukio; Shimatani, Naotaka; Torii, Yosaku; Sekimizu, Mariko; Kamiya, Yuki; Murakami, Kentaro; Obara, Hideaki; Sasaki, Junichi

doi:10.1002/ams2.617

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…Staphylococcus and Salmonella species are the most common pathogens causing IAA (1-7), and S. pyogenes rarely causes IAA. In the past, only 15 cases of S. pyogenes-related IAA have been reported, of which 14 were treated with emergency or semiemergency surgery (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

Infected Aortic Aneurysm Secondary to Pyogenic Flexor Tenosynovitis from Streptococcus pyogenes

Maruyama,

Imura,

Dohi

2024

Intern. Med.

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Infected aortic aneurysms are rare, and have a high mortality rate. Although not a major pathogen, Streptococcus pyogenes has been reported to cause infected aortic aneurysms. In the present case, the patient was hospitalized for pyogenic flexor tenosynovitis with S. pyogenes bacteremia. Despite drainage of the abscess around the flexor tendon and effective antimicrobial therapy, infected aneurysms developed in the abdomen and ascending aorta. Because of their rapid enlargement, these aneurysms were treated with in situ reconstruction. Although rare, the possibility that S. pyogenes is the causative pathogen of infected aortic aneurysms should be considered.

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Section: Introductionmentioning

confidence: 99%

Infected Aortic Aneurysm Secondary to Pyogenic Flexor Tenosynovitis from Streptococcus pyogenes

Maruyama,

Imura,

Dohi

2024

Intern. Med.

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Abdominal aortic mycotic aneurysm as a sequela of invasive Group A streptococcal infection

Ngiam

Quek

Kwan

et al. 2023

QJM: An International Journal of Medicine

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Mycotic aneurysms (MA) are rare, but potentially devastating sequelae of invasive Group A Streptococcal infections. Appropriate management often requires surgical or endovascular repair of the MA, along with a prolonged course of appropriate antibiotics. We report a case of a 51-year-old man with a history of hypertension, hyperlipidaemia and ischaemic heart disease, who presented with a subacute history of progressive mid-to-lower back pain. He was febrile at presentation and found to have Streptococcus pyogenes isolated in two out of two bottles of blood cultures. He was initiated on intravenous penicillin G and intravenous clindamycin. Magnetic resonance imaging of the spine did not demonstrate any spondylodiscitis and his back pain persisted despite analgesia. Subsequent cross-sectional imaging revealed a large 6.8 cm abdominal aortic mycotic aneurysm at the level of the renal arteries, with surrounding inflammatory fat stranding. He subsequently underwent endovascular repair of the abdominal aneurysm (EVAR) uneventfully, and completed a 6-week course of intravenous penicillin G.

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Infected abdominal aorta aneurysm secondary to streptococcal toxic shock syndrome due to Streptococcus pyogenes: a case report from Japan

Cited by 2 publications

References 19 publications

Infected Aortic Aneurysm Secondary to Pyogenic Flexor Tenosynovitis from <i>Streptococcus pyogenes</i>

Infected Aortic Aneurysm Secondary to Pyogenic Flexor Tenosynovitis from <i>Streptococcus pyogenes</i>

Abdominal aortic mycotic aneurysm as a sequela of invasive Group A streptococcal infection

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