Abdominal aortitis due to Streptococcus pneumoniae and Enterobacter aerogenes: a case report and review.

Abstract:

: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%.

journal_name

J Gen Intern Med

authors

Rondina MT,Raphael K,Pendleton R,Sande MA

doi

10.1111/j.1525-1497.2006.00455.x

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

C1-3

issue

7

eissn

0884-8734

issn

1525-1497

pii

JGI455

journal_volume

21

pub_type

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