Streptococcus constellatus Causing Mycotic Aneurysm in A Patient with Diffuse Large B-Cell Lymphoma
Journal Title: Journal of Microbiology and Infectious Diseases - Year 2017, Vol 7, Issue 4
Abstract
This is a first case of mycotic aneurysm due to Streptococcus constellatus in a 58 years old male patient with diffuse large B cell lymphoma. A mycotic aneurysm is a rare but life threatening and potentially fatal sequela of bacteraemia. A 58-year male patient initially presented with sepsis after 7 days of chemotherapy for non hodgkin's lymphoma. No clear focus of sepsis was found. Blood culture grew Streptococcus constellatus. He received appropriate antibiotic and discharged well. He represented after 5 days with excruciating intrascapular and chest pain. This patient with haematology malignancy had radiologically, surgically and histologically confirmed mycotic aneurysm that involved ascending aorta which contained pseudoaneurysm. Patient was treated excision of the infected tissue and aortic graft, and long term antibiotics. This rare case highlights that the high clinical suspicion in patients presenting with possibly mycotic aneurysm is a critical tool in addition to perfect surgical treatment and medical treatment with adequate antibiotics. J Microbiol Infect Dis 2017; 7(4):213-216
Authors and Affiliations
Nadeem Sajjad Raja, Albena Nikolova, Theo Raudsepp, Simon G Weston-Smith, Annette Rumbold, Hizbullah Shaikh, Sunil Gupta
Keywords
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- EP ID EP413791
- DOI 10.5799/jmid.369278
- Views 79
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