Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> Bacteremia
The incidence of anaerobic bacteremia has been increasing over the past several decades. Further, antibiotic resistance in <i>Bacteroides</i> is a pertinent issue. A 76-year-old man was brought to our hospital with complaints of fever, chills, and abdominal pain. Empiric antibiotics indu...
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| Format: | Article |
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MDPI AG
2021-09-01
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| Series: | Reports |
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| Online Access: | https://www.mdpi.com/2571-841X/4/3/28 |
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| author | Masayoshi Kusunoki Ryuichi Ohta Jumpei Sawa Chiaki Sano |
| author_facet | Masayoshi Kusunoki Ryuichi Ohta Jumpei Sawa Chiaki Sano |
| author_sort | Masayoshi Kusunoki |
| collection | DOAJ |
| description | The incidence of anaerobic bacteremia has been increasing over the past several decades. Further, antibiotic resistance in <i>Bacteroides</i> is a pertinent issue. A 76-year-old man was brought to our hospital with complaints of fever, chills, and abdominal pain. Empiric antibiotics induced minimal relief. The blood culture was positive for multi-drug resistant <i>Bacteroides ovatus</i>. Our patient developed a periaortic abscess in the abdominal aorta and a thoracic aortic aneurysm with ulcer-like projection (ULP), which rapidly increased in size. He was transferred to the tertiary medical institution for surgical drainage. This case suggests that bacteremia can exacerbate aneurysms with ulcerative lesions. Anaerobic bacteremia is a possible differential diagnosis when periaortic abscess formation is present. Early surgical consultation and appropriate antibiotic selection are crucial in anaerobic bacteremia treatment. |
| first_indexed | 2024-03-10T07:15:01Z |
| format | Article |
| id | doaj.art-fdf873770591420985351c0a447664c0 |
| institution | Directory Open Access Journal |
| issn | 2571-841X |
| language | English |
| last_indexed | 2024-03-10T07:15:01Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
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| spelling | doaj.art-fdf873770591420985351c0a447664c02023-11-22T15:08:33ZengMDPI AGReports2571-841X2021-09-01432810.3390/reports4030028Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> BacteremiaMasayoshi Kusunoki0Ryuichi Ohta1Jumpei Sawa2Chiaki Sano3Department of Critical Care and Emergency Medicine, Shimane Prefectural Central Hospital, Izumo 693-0068, Shimane, JapanCommunity Care, Unnan City Hospital, Unnan 699-1221, Shimane, JapanCommunity Care, Unnan City Hospital, Unnan 699-1221, Shimane, JapanDepartment of Community Medicine Management, Faculty of Medicine, Shimane University, Izumo 693-8501, Shimane, JapanThe incidence of anaerobic bacteremia has been increasing over the past several decades. Further, antibiotic resistance in <i>Bacteroides</i> is a pertinent issue. A 76-year-old man was brought to our hospital with complaints of fever, chills, and abdominal pain. Empiric antibiotics induced minimal relief. The blood culture was positive for multi-drug resistant <i>Bacteroides ovatus</i>. Our patient developed a periaortic abscess in the abdominal aorta and a thoracic aortic aneurysm with ulcer-like projection (ULP), which rapidly increased in size. He was transferred to the tertiary medical institution for surgical drainage. This case suggests that bacteremia can exacerbate aneurysms with ulcerative lesions. Anaerobic bacteremia is a possible differential diagnosis when periaortic abscess formation is present. Early surgical consultation and appropriate antibiotic selection are crucial in anaerobic bacteremia treatment.https://www.mdpi.com/2571-841X/4/3/28infected aneurysmanaerobesulcer-like projectionbacteremia<i>Bacteroides ovatus</i> |
| spellingShingle | Masayoshi Kusunoki Ryuichi Ohta Jumpei Sawa Chiaki Sano Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> Bacteremia Reports infected aneurysm anaerobes ulcer-like projection bacteremia <i>Bacteroides ovatus</i> |
| title | Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> Bacteremia |
| title_full | Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> Bacteremia |
| title_fullStr | Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> Bacteremia |
| title_full_unstemmed | Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> Bacteremia |
| title_short | Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with <i>Bacteroides ovatus</i> Bacteremia |
| title_sort | rapidly growing aneurysm with ulcer like projection complicated with i bacteroides ovatus i bacteremia |
| topic | infected aneurysm anaerobes ulcer-like projection bacteremia <i>Bacteroides ovatus</i> |
| url | https://www.mdpi.com/2571-841X/4/3/28 |
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