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Rare disease
CASE REPORT
Case of ruptured Staphylococcus aureus aortitis: presentation and management
  1. Stephani C Wang1,
  2. Mohamed Tageldin2 and
  3. Drinnon O Hand1
  1. 1 Internal Medicine, Albany Medical Center, Albany, New York, USA
  2. 2 Albany Medical Center Hospital, Albany, New York, USA
  1. Correspondence to Drinnon O Hand, Handd{at}amc.edu

Abstract

Infectious aortitis with the complication of aortic aneurysm carries a high mortality rate without appropriate interventions, mostly due to aortic rupture. For this reason, early and prompt diagnoses along with surgical and medical managements play critical roles. Aortic infection with Staphylococcus aureus (SA) is uncommon, but reported cases have been usually associated with fatal complication from rapid progression into rupture. We report a 65-year-old man who developed methicillin-sensitive SA aortitis and then aortic rupture. Patient was successfully treated with staged vascular repair and long-term antibiotic use.

  • radiology (diagnostics)
  • infectious diseases
  • medical management
  • cardiovascular medicine

https://doi.org/10.1136/bcr-2018-225514

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    Footnotes

    • Contributors SCW wrote the first draft. MT revised the manuscript, and DOH revised and finalised the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.