Streptococcus pneumoniae causing mycotic aneurysm in a pediatric patient with coarctation of the aorta.

Abstract

Mycotic aneurysms are rare in patients with congenital heart disease, but may occur in those with aortic coarctation and abnormal aortic valve. Rapid diagnosis of mycotic aneurysm is of extreme importance given the significant reported incidence of morbidity and mortality across all age groups. Aortic aneurysm is uncommon before the second decade of life, and here we report a 10-year-old male patient with new diagnosis of aortic coarctation and bicuspid aortic valve, who developed a rapidly enlarging mycotic aneurysm from Streptococcus pneumoniae. Cardiac magnetic resonance imaging was crucial in making the diagnosis, as well as in follow-up.

• Authors: Brian Haas, Heath G Wilt, Karina M Carlson, Gary K Lofland
• Journal: Congenital heart disease (Congenit Heart Dis) Vol. 7 Issue 1 Pg. 71-5 ( 2012) ISSN: 1747-0803 [Electronic] United States
• PMID: 21718455 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2011 Wiley Periodicals, Inc.

Chemical References

• Anti-Bacterial Agents

Topics

• Aneurysm, Infected (diagnosis, drug therapy, microbiology, surgery)
• Anti-Bacterial Agents (therapeutic use)
• Aortic Aneurysm (diagnosis, drug therapy, microbiology, surgery)
• Aortic Coarctation (complications, diagnosis, surgery)
• Aortic Valve (abnormalities)
• Blood Vessel Prosthesis Implantation
• Child
• Humans
• Magnetic Resonance Imaging
• Male
• Predictive Value of Tests
• Streptococcus pneumoniae (isolation & purification)
• Treatment Outcome