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Case Report 


Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh.


Cited By:2

Abstract
This is a first case of mycotic aneurysm due to Streptococcus constellatus in a 58 years old male patient with diffuse large B cell lymphoma. A mycotic aneurysm is a rare but life threatening and potentially fatal sequela of bacteraemia. A 58-year male patient initially presented with sepsis after 7 days of chemotherapy. No clear focus of sepsis was found. Blood culture grew Streptococcus constellatus. He received appropriate antibiotic and discharged well. He represented after 5 days with excruciating intrascapular and chest pain. This patient with haematology malignancy had radiologically, surgically and histologically confirmed mycotic aneurysm that involved ascending aorta which contained pseudoaneurysm. Patient was treated excision of the infected tissue and aortic graft, and long term antibiotics. This rare case highlights that the high clinical suspicion in patients presenting with possibly mycotic aneurysm is a critical tool in addition to perfect surgical treatment and medical treatment with adequate antibiotics. J Microbiol Infect Dis 2017; 7(4):213-216

Key words: Mycotic aneurysm, blood stream infections, cancer, diffuse large B cell lymphoma


 
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How to Cite this Article
Pubmed Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh. Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma. J Microbiol Infect Dis. 2017; 7(4): 213-216 . doi:10.5799/jmid.369278


Web Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh. Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma. https://www.jmidonline.org/?mno=302657322 [Access: November 23, 2024]. doi:10.5799/jmid.369278


AMA (American Medical Association) Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh. Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma. J Microbiol Infect Dis. 2017; 7(4): 213-216 . doi:10.5799/jmid.369278



Vancouver/ICMJE Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh. Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma. J Microbiol Infect Dis. (2017), [cited November 23, 2024]; 7(4): 213-216 . doi:10.5799/jmid.369278



Harvard Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh (2017) Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma. J Microbiol Infect Dis, 7 (4), 213-216 . doi:10.5799/jmid.369278



Turabian Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh. 2017. Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma. Journal of Microbiology and Infectious Diseases, 7 (4), 213-216 . doi:10.5799/jmid.369278



Chicago Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh. "Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma." Journal of Microbiology and Infectious Diseases 7 (2017), 213-216 . doi:10.5799/jmid.369278



MLA (The Modern Language Association) Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh. "Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma." Journal of Microbiology and Infectious Diseases 7.4 (2017), 213-216 . Print. doi:10.5799/jmid.369278



APA (American Psychological Association) Style

Nadeem Raja, Sunil Gupta, Albena Nikolava, Simon Weston-Smith, theo Raudsepp, Hizbullah Sheikh (2017) Streptococcus constellatus causing mycotic aneurysm in a patient with diffuse large B cell lymphoma. Journal of Microbiology and Infectious Diseases, 7 (4), 213-216 . doi:10.5799/jmid.369278