폐렴구균 감염에 의한 복부 대동맥류 1예 = A Case of Abdominal Aneurysm due to Streptococcus pneumoniae Infection

국문 초록 (Abstract)

폐렴구균은 폐렴, 수막염, 중이염 등의 감염증을 일으키나 감염성 대동맥류를 유발하는 경우는 매우 드물다. 저자들은 고혈압, 당뇨병 등을 가지고 있으며 대동맥류가 확인되지 않았던 78세 남자 환자에서 감염증의 증상없이 대동맥류 파열로 내원하여 폐렴구균에 의한 대동맥류로 진단되었던 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

Streptococcus pneumoniae has been an important etiologic agent of community-acquired pneumonia, meningitis, and otitis media. S. pneumoniae is also an important cause of bacteremia, especially in a community setting and it may cause intravascular infection. S. pneumoniae has been rarely been reparted to cause mycotic aneurysm and three is no case report on abdominal aneurysm caused by S. pneumoniae in Korea, yet. We experienced a case of abdominal aneurysm caused by S. pneumoniae infection. A 78-year old male with hypertension and diabetes mellitus was transferred to our hospital due to ruptured abdominal aortic aneurysm. Surgical intervention was done for removal of hematoma and vascular anastomosis. Ascending aorta showed atheromatous plaque with dystrophic calcification and thrombus. S. pneumoniae was isolated from the culture of the surgical specimen. After successful treatment with antibiotics for 7 weeks, he has been followed up uneventfully in outpatient clinic for 1 year.