Case Report

Evolving Infectious Aortitis Caused by Streptococcus pneumoniae

Authors: Rekha Goswami, MD, Kerry O. Cleveland, MD, Michael S. Gelfand, MD

Abstract

Infections of major vessels leading to mycotic aneurysms can be a diagnostic dilemma for clinicians, and can be accompanied by a high mortality rate. Successful treatment of this condition often requires a high index of suspicion and prompt medical and surgical attention. The authors report two cases of infectious aortitis caused by pneumococcus that evolved during hospitalization, and discuss diagnostic difficulties that accompany this entity.


Key Points


* Infectious aortitis is difficult to diagnose clinically, and even when the diagnosis is made has a high mortality rate.


* A variety of microorganisms may cause infectious aortitis.


* Symptoms attributable to evolving infectious aortitis may be seen prior to development of frank aortitis, and testicular pain may be an important clue when making a diagnosis.

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