Pneumococcal aortitis in the antibiotic era.
Arch Intern Med
; 155(15): 1678-80, 1995.
Article
in En
| MEDLINE
| ID: mdl-7618992
ABSTRACT
The pneumococcus remains in the antibiotic era a formidable pathogen, capable of atypical, lethal clinical presentations. We report two fatal cases of thoracic aortitis caused by Streptococcus pneumoniae in the setting of bacteremic illness from this pathogen. One case occurred in an aortic graft and the other arose in a native aorta. We also discuss the indolent clinical presentation and the diagnostic failure of transesophageal echocardiography and leukocyte scintigraphy. Persistent pyrexia with atypical chest pain and unexplained blood loss should alert clinicians to the possibility of this uncommon, yet lethal complication of pneumococcal disease.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aortitis
/
Pneumococcal Infections
Type of study:
Diagnostic_studies
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
En
Journal:
Arch Intern Med
Year:
1995
Type:
Article
Affiliation country:
United States