Document Detail

Septic rupture of an atherosclerotic plaque of the ascending aorta.
MedLine Citation:
PMID:  22728897     Owner:  NLM     Status:  MEDLINE    
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.
Jean Michel Maillet; Tonino Palombi; Jean-Louis Sablayrolles; Nicolas Bonnet
Related Documents :
6742627 - Massive small bowel infarction. an unusual complication of abdominal aortic surgery.
25194607 - Congenital agenesis of pubis and bilateral cryptorchidism: a case report.
19521237 - Postpartum-acquired haemophilia a: a description of three cases and literature review.
7566527 - Percutaneous needle trephination for external csf drainage: experience with 226 punctures.
9839837 - Sorghum carbohydrates--a review.
3156467 - Cochlear neuronal populations in developmental defects of the inner ear. implications f...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-06-22
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  15     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-19     Completed Date:  2013-02-08     Revised Date:  2013-10-11    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  790-1     Citation Subset:  IM    
Department of Cardiovascular and Thoracic Surgery, Centre Cardiologique du Nord, Saint-Denis, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anti-Bacterial Agents / 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
Methicillin-Resistant Staphylococcus aureus / isolation & purification*
Middle Aged
Plaque, Atherosclerotic
Prosthesis-Related Infections / diagnosis,  microbiology*,  therapy
Sepsis / diagnosis,  microbiology*,  therapy
Staphylococcal Infections / diagnosis,  microbiology*,  therapy
Tomography, X-Ray Computed
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Synaptic Silencing and Plasma Membrane Dyshomeostasis Induced by Amyloid-? Peptide are Prevented by ...
Next Document:  Orphan status, HIV risk behavior, and mental health among adolescents in rural Kenya.