Abstract
This report describes a case of a taxidermist who presented with sepsis and excruciating back pain a few weeks after contact with a deceased horse. Streptococcus equi subspecies zooepidemicus (SESZ) was isolated from patient’s blood and two isolated mycotic aneurysms were found. The first was located in the distal abdominal aorta and the second in the right common iliac artery. Treatment consisted of penicillin administration for 6 weeks and surgical debridement of the infected tissue combined with autologous vein reconstruction. The patient was infection-free without complaints 1 year after discharge and the venous reconstruction was patent. Reports in literature of bacteremia with SESZ leading to the development of mycotic aneurysms are very scarce and show that prognosis is generally unfavorable.
Highlights
Streptococcus equi (SE) is a group-C β-hemolytic zoonotic pathogen that rarely causes human infections.[1]
This pathogen remains a rare cause of human infections, it has been associated with severe conditions, such as toxic shock syndrome, meningitis, arthritis, endocarditis, necrotizing myositis, aortitis, and mycotic aneurysms.[1,2]
This report describes a rare incident of subspecies zooepidemicus (SESZ) bacteremia and consequent development of mycotic aneurysms in the abdominal aorta and right common iliac artery, following contact with a deceased horse
Summary
Streptococcus equi (SE) is a group-C β-hemolytic zoonotic pathogen that rarely causes human infections.[1]. The first was located in the distal abdominal aorta and the second in the right common iliac artery. Treatment consisted of penicillin administration for 6 weeks and surgical debridement of the infected tissue combined with autologous vein reconstruction.
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