A Case Report on the Successful Treatment of Streptococcus pneumoniae-Induced Infectious Abdominal Aortic Aneurysm Initially Presenting with Meningitis

Table 1

Reported cases of infectious abdominal aortic aneurysm caused by Streptococcus pneumoniae.

Case	Age, gender	Symptoms	Positive imaging study	Blood culture	Source of infection	Treatment	Outcome
(1) 1945	60, M	Fever	?	−	Pneumonia	Antibiotics	Died
(2) 1966	76, F	Fever, back pain	?	+	Unknown	Antibiotics	Died
(3) 1983	48, M	Fever, back pain	CT bone scan	+	Pneumonia	Antibiotics, surgery	Survived
(4) 1985	48, M	Fever, abdominal pain	CT	+	Unknown	Antibiotics, surgery	Survived
(5) 1988	51, M	Fever, back and abdominal pain	?	+	Unknown	None	Died
(6) 1988	71, F	Fever, abdominal pain	CT gallium	−	Endocarditis, septic joint	Antibiotics, surgery	Died
(7) 1991	87, M	Back pain	CT angiogram	−	Unknown	Antibiotics, surgery	Survived
(8) 1992	59, F	Fever, back pain	CT	+	Unknown	Antibiotics, surgery	Survived
(9) 1992	77, M	Back pain	CT	−	Unknown	Antibiotics, surgery	Survived
(10) 1993	?	Fever	?	+	Unknown	Antibiotics, surgery	Survived
(11) 1995	67, M	Unknown	CT	+	Unknown	Antibiotics, surgery	Survived
(12) 1997	30, M	Fever, cough	CT angiogram	+	Pneumonia	Antibiotics, surgery	Survived
(13) 1997	62, M	Fever, back pain, and groin pain	Autopsy	+	Pneumonia, meningitis	Antibiotics	Died
(14) 1998	54, M	Fever	CT MRI	+	Unknown	Antibiotics	Survived
(15) 1998	62, F	Fever, back pain	?	− (tissue culture +)	Epidural abscess	Antibiotics	Survived
(16) 1998	54, M	Fever, back pain	?	− (tissue culture +)	Endocarditis, meningitis	Antibiotics	Died
(17) 1999	60, M	Fever, back pain	CT MRI	+	Unknown	Antibiotics, surgery	Died
(18) 1999	52, F	Fever, back pain	CT	+	Spondylodiscitis	Antibiotics	Died
(19) 1999	65, F	Abdominal and back pain, weight loss	CT abdominal ultrasonography	− (tissue culture +)	Pneumonia	Antibiotics, surgery	Survived
(20) 2001	60, F	Asymptomatic	Ultrasonography	− (tissue culture +)	Unknown	Antibiotics, surgery	Survived
(21) 2001	66, M	Abdominal pain, fever	Ultrasonography	− (tissue culture +)	Unknown	Antibiotics, surgery	Survived
(22) 2001	69, F	Fever, back pain	CT	− (tissue culture +)	Unknown	Antibiotics, surgery	Survived
(23) 2002	30, F	Fever, back pain	CT	+ (tissue culture +)	Unknown	Antibiotics, surgery	Survived
(24) 2003	72, M	Fever, conscious disturbance	CT angiogram	+	Unknown	Antibiotics, surgery	Survived
(25) 2004	69, F	Fever, shoulder pain, abdominal pain, and diarrhea	CT	+	Unknown	Antibiotics, surgery	Survived
(26) 2004	62, M	Fever, cough, and testicular abdominal pain	CT MRI	+	Unknown	Antibiotics, surgery	Survived
(27) 2005	44, M	Back and groin pain	Angiogram	+	Unknown	Antibiotics, surgery	Survived
(28) 2006	72, M	Abdominal and back pain, fever	CT	− (tissue culture +)	Unknown	Antibiotics, surgery	Survived
(29) 2006	69, F	Back pain	CT	− (PCR +)	Unknown	Antibiotics, surgery	Survived
(30) 2007	75, M	Fever abdominal pain, anorexia, and weight loss	CT	+	Pneumonia	Antibiotics, surgery	Died
Our case	63, M	Weakness, back pain, and consciousness disorder	CT	+	Meningitis	Antibiotics, Surgery	Survived

Cited from [5] with our case added.
S. pneumoniae: Streptococcus pneumoniae.