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Managing a Mycotic Thoracoabdominal Aneurysm: The Importance of Molecular Diagnostics

Lookup NU author(s): Professor John Dark

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Abstract

© 2017 The Society of Thoracic Surgeons Pneumococcal mycotic aneurysms are rare and associated with significant mortality and morbidity. Early intravenous antibiotic therapy and surgical intervention is the mainstay of treatment. Pneumococci frequently autolyze in blood cultures, making microbiological diagnosis challenging. We present the case of a man in his mid 70s with multiple thoracoabdominal mycotic aneurysms. Surgery was performed to a threatening saccular aortic arch aneurysm. Samples were sent for microbiological analysis and all were culture negative. The samples were then referred for bacterial 16S ribosomal RNA sequencing, which revealed evidence of infection with Streptococcus pneumoniae.


Publication metadata

Author(s): Bayliss CD, Booth KL, Williams R, Dark JH, Gould KF

Publication type: Article

Publication status: Published

Journal: Annals of Thoracic Surgery

Year: 2017

Volume: 104

Issue: 5

Pages: e379-e381

Print publication date: 01/11/2017

Online publication date: 18/10/2017

Acceptance date: 01/07/2017

ISSN (print): 0003-4975

ISSN (electronic): 1552-6259

Publisher: Elsevier USA

URL: https://doi.org/10.1016/j.athoracsur.2017.07.005

DOI: 10.1016/j.athoracsur.2017.07.005


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