TY - JOUR
T1 - Pneumococcal meningitis with vertebral osteomyelitis, iliopsoas abscess, and infected abdominal aortic aneurysm
AU - Mitsutake, Akihiko
AU - Matsumoto, Hideyuki
AU - Hatano, Keiko
AU - Matsuura, Sohei
AU - Takayama, Toshio
AU - Yamamoto, Kota
AU - Hoshina, Katsuyuki
AU - Ikemura, Masako
AU - Hashida, Hideji
N1 - Publisher Copyright:
© 2017 Japanese Society of Neurology and John Wiley & Sons Australia, Ltd
PY - 2018/1
Y1 - 2018/1
N2 - A 69-year-old man with a past history of asymptomatic abdominal aortic aneurysm developed pneumococcal meningitis. Antibiotic therapy improved his meningitis. However, he also developed vertebral osteomyelitis, iliopsoas abscess, and infected abdominal aortic aneurysm. The aneurysm was sequentially dilated, suggesting the impending rupture. An emergency open aneurysm repair using a tube homograft was performed. All of the vertebral osteomyelitis, iliopsoas abscess, and infected abdominal aortic aneurysm are rare complications. In particular, if a patient with bacterial meningitis has a preexisting aortic aneurysm, infected aortic aneurysm should be noted. To prevent the rupture of the aneurysm, the emergent vascular surgery including aorto-aortic homograft substitution should be considered.
AB - A 69-year-old man with a past history of asymptomatic abdominal aortic aneurysm developed pneumococcal meningitis. Antibiotic therapy improved his meningitis. However, he also developed vertebral osteomyelitis, iliopsoas abscess, and infected abdominal aortic aneurysm. The aneurysm was sequentially dilated, suggesting the impending rupture. An emergency open aneurysm repair using a tube homograft was performed. All of the vertebral osteomyelitis, iliopsoas abscess, and infected abdominal aortic aneurysm are rare complications. In particular, if a patient with bacterial meningitis has a preexisting aortic aneurysm, infected aortic aneurysm should be noted. To prevent the rupture of the aneurysm, the emergent vascular surgery including aorto-aortic homograft substitution should be considered.
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U2 - 10.1111/ncn3.12175
DO - 10.1111/ncn3.12175
M3 - Article
AN - SCOPUS:85099013476
SN - 2049-4173
VL - 6
SP - 23
EP - 25
JO - Neurology and Clinical Neuroscience
JF - Neurology and Clinical Neuroscience
IS - 1
ER -