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KMID : 0984720050370050307
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Infection and Chemotherapy
2005 Volume.37 No. 5 p.307 ~ p.310
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A Case of Aortitis Associated with Primary Streptococcus pneumoniae Bacteremia
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Jeon Min-Hyok
Ko Ock-Bae
Jeong Woo-Jin
Choi Young-Jun
Lee Jeong-Hoon
Choi Sang-Ho
Kim Mi-Na
Kim Yang-Soo
Woo Jun-Hee
Ryu Ji-So
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Abstract
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Bacterial aortitis is rare and without surgical intervention, it usually leads to uncontrolled sepsis or catastrophic hemorrhage, ultimately, resulting in death. In the postantibiotic era, the dominant infecting organisms are Staphylococcus aureus and Salmonella spp.. In spite of frequent pneumococcal bacteremia, vascular seeding is rare and there is only one published report in Korea. We describe a 77-year-old female with primary pneumococcal bacteremia followed by aortitis of the descending aorta, which was successfully treated by aneurysmectomy, wide excision of periaortic tissue, aortobiiliac bypass via prosthetic graft, and antibiotic therapy.
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KEYWORD
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Streptococcus pneumoniae, Aortitis
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