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A case of aortitis and saccular aortic aneurysm caused by rare aetiological organisms, Streptococcus constellatus and parvovirus B19, and atherosclerosis

Year: 2024

Type: article

Abstract: Aortitis and mycotic aneurysm are vascular conditions characterized by inflammation of the aortic wall or the presence of an aneurysm resulting from microbial infection. This is a rare case of aortic aneurysm caused by atherosclerosis, with Streptococcus constellatus and Parvovirus B19 infection, in a 60-year-old male. The patient presented with rigors and pleuritic chest pain, and was found to have a saccular aneurysm of the ascending aorta and pericardial effusion. The patient underwent urgent replacement of the ascending aorta and completed 6 weeks of antibiotics with good recovery. This case emphasizes the importance of considering rare organisms in patients with aortitis and mycotic aneurysm, particularly in cases with blood cultures without microbial growth. Early diagnosis and treatment may be essential for the prevention of life-threatening complications.

Source: Oxford Medical Case Reports

DOI: 10.1093/omcr/omae100

Authors: Aly Amer, Neil Mangrolia, Ravi De Silva

Institutions: East Suffolk and North Essex NHS Foundation Trust, Ipswich Hospital, Papworth Hospital NHS Foundation Trust

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,180