Group A Streptococcus Septicemia and an Infected, Ruptured Abdominal Aortic Aneurysm Associated with Pharyngitis

A 65-year-old man had a 3-day history of sore throat, fever, rigors, back pain, abdominal discomfort, nausea, vomiting, and diarrhea. The patient's daughter had group A streptococcus pharyngitis. The patient was found to have a ruptured abdominal aortic aneurysm. He underwent resection of the a...

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Bibliographic Details
Published in:Clinical infectious diseases 1992-09, Vol.15 (3), p.525-527
Main Authors: Valero, Gustavo, Cutrona, Anthony F., Watanakunakorn, Chatrchai, Talkington, Deborah F.
Format: Article
Language:English
Subjects:
Abdominal aortic aneurysm
Aged
Aneurysm, Infected - complications
Aneurysm, Infected - microbiology
Aneurysms
Aorta, Abdominal
Aortic Rupture - etiology
Aortic Rupture - microbiology
Bacteremia
Bacteremia - microbiology
Cultural groups
Endocarditis
Exotoxins
Humans
Infections
Male
Pharyngitis
Pharyngitis - microbiology
Sepsis
Streptococcal Infections - microbiology
Streptococcus
Streptococcus pyogenes
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Summary:A 65-year-old man had a 3-day history of sore throat, fever, rigors, back pain, abdominal discomfort, nausea, vomiting, and diarrhea. The patient's daughter had group A streptococcus pharyngitis. The patient was found to have a ruptured abdominal aortic aneurysm. He underwent resection of the aneurysm and right axillary femoro-femoral bypass graft. The patient died 40 hours after admission. Gram stain of the aneurysm showed numerous gram-positive cocci. Group A streptococcus grew from cultures of blood, throat, and aneurysm. The group A streptococcus was M type 3, T type 3 and produced streptococcal pyrogenic exotoxin A. This case is a very rare fatal complication of group A streptococcus pharyngitis.
ISSN:1058-4838
1537-6591
DOI:10.1093/clind/15.3.525