Abstract
Infectious arteritis is an insidious condition commonly associated with a long diagnostic delay. We report the management of extensive pneumococcal thoracic aortitis in a 64-year-old woman. The frozen elephant trunk procedure was performed to repair the aortic arch. Prolonged aortic wall cultures were positive for Streptococcus pneumoniae. Late follow-up imaging at 36 months demonstrated no sign of recurrence around the hybrid vascular graft in the thoracic aorta.
Keywords:
Anti-bacterial agents; Aortic aneurysm; Aortitis; Blood vessel prosthesis implantation; Delayed diagnosis; Pneumococcal infections; thoracic.
MeSH terms
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Aneurysm, Infected / diagnostic imaging
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Aneurysm, Infected / microbiology
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Aneurysm, Infected / surgery*
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Anti-Bacterial Agents / therapeutic use
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Aortic Aneurysm, Thoracic / diagnostic imaging
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Aortic Aneurysm, Thoracic / microbiology
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Aortic Aneurysm, Thoracic / surgery*
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Aortitis / diagnostic imaging
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Aortitis / microbiology
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Aortitis / surgery*
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Aortography / methods
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Blood Vessel Prosthesis Implantation / methods*
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Computed Tomography Angiography
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Female
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Humans
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Middle Aged
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Pneumococcal Infections / diagnostic imaging
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Pneumococcal Infections / microbiology
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Pneumococcal Infections / surgery*
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Streptococcus pneumoniae / isolation & purification*
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Treatment Outcome