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

Creator(s)

Brian Haas
Heath G. Wilt
Karina M. Carlson, Children's Mercy Hospital
Gary K. Lofland, Children's Mercy Hospital

Document Type

Article

Publication Date

1-2012

Identifier

DOI: 10.1111/j.1747-0803.2011.00543.x

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.

Journal Title

Congenit Heart Dis

Volume

7

Issue

1

First Page

71

Last Page

75

MeSH Keywords

Aneurysm, Infected; Anti-Bacterial Agents; Aortic Aneurysm; Aortic Coarctation; Aortic Valve; Blood Vessel Prosthesis Implantation; Child; Humans; Magnetic Resonance Imaging; Male; Predictive Value of Tests; Streptococcus pneumoniae; Treatment Outcome

Keywords

Aneurysm, Infected; Anti-Bacterial Agents; Aortic Aneurysm; Aortic Coarctation; Aortic Valve; Blood Vessel Prosthesis Implantation; Child; Humans; Magnetic Resonance Imaging; Male; Predictive Value of Tests; Streptococcus pneumoniae; Treatment Outcome

Recommended Citation

Haas, B., Wilt, H. G., Carlson, K. M., Lofland, G. K. Streptococcus pneumoniae causing mycotic aneurysm in a pediatric patient with coarctation of the aorta. Congenit Heart Dis 7, 71-75 (2012).