| Septic rupture of an atherosclerotic plaque of the ascending aorta. | |
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MedLine Citation:
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PMID: 22728897 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Infectious aortitis has become a rare disease thanks to the widespread use of antibiotics. We report the case of a patient who, 15 days after initiation of antibiotics for bacteraemia due to methicillin-resistant Staphylococcus aureus (MRSA), developed acute chest pain followed by haemodynamic instability. A tamponade due to a rupture into the pericardium of the ascending aorta at the site of an atherosclerotic plaque was diagnosed by an emergent chest contrasted computed tomography (CT). Intraoperatively, the septic nature of the rupture was suspected. All aortic atherosclerotic plaque samples grew MRSA. Postoperatively, the patient had an uneventful recovery after 12 weeks of antibiotic therapy. Transoesophageal echocardiography and chest CT were normal at 3 months after cessation of antibiotics. This case report permits the review of some characteristics of this disease, its physiopathology as well as the therapeutic implications. |
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Authors:
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Jean Michel Maillet; Tonino Palombi; Jean-Louis Sablayrolles; Nicolas Bonnet |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2012-06-22 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 15 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-09-19 Completed Date: 2013-02-08 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 790-1 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular and Thoracic Surgery, Centre Cardiologique du Nord, Saint-Denis, France. jm.maillet@ccncardio.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Aortic Rupture / diagnosis, microbiology*, therapy Aortitis / diagnosis, microbiology*, therapy Atherosclerosis / diagnosis, microbiology*, therapy Blood Vessel Prosthesis / adverse effects* Cardiac Tamponade / etiology Echocardiography, Transesophageal Humans Male Methicillin-Resistant Staphylococcus aureus / isolation & purification* Middle Aged Plaque, Atherosclerotic Prosthesis-Related Infections / diagnosis, microbiology*, therapy Reoperation Sepsis / diagnosis, microbiology*, therapy Staphylococcal Infections / diagnosis, microbiology*, therapy Tomography, X-Ray Computed Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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