Ductus arteriosus aneurysm with community-acquired methicillin-resistant Staphylococcus aureus infection and spontaneous rupture: A potentially fatal quandary

Audra Stewart, Umesh Dyamenahalli, S. Bruce Greenberg, Jonathan Drummond-Webb

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph. Comprehensive evaluation discovered a ductus arteriosus aneurysm and pericardial effusion with methicillin-resistant Staphylococcus aureus bacteremia. Despite pericardiocentesis and appropriate intravenous antibiotics, there was rapid enlargement of the aneurysm and accumulation of echogenic material within the ductus arteriosus aneurysm. Infected aneurysm rupture was identified during emergency surgery. This infant also had vocal cord paresis, a likely complication of the surgery. The clinical course, diagnosis, and treatment of this patient are discussed. Infection of a ductus arteriosus or an infected ductal arteriosus aneurysm is a rare and potentially fatal clinical entity. In the era of increasing community-acquired methicillinresistant S aureus infections, this is a diagnosis that requires a high index of suspicion.

Original languageEnglish (US)
JournalPediatrics
Volume117
Issue number6
DOIs
StatePublished - Jun 2006

Fingerprint

Ductus Arteriosus
Spontaneous Rupture
Methicillin-Resistant Staphylococcus aureus
Aneurysm
Infection
Pericardiocentesis
Infected Aneurysm
Vocal Cord Paralysis
Pericardial Effusion
Bacteremia
Rupture
Respiration
Emergencies
Fever
Thorax
Anti-Bacterial Agents
Therapeutics

Keywords

  • Cardiology
  • Ductus arteriosus aneurysm
  • Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Ductus arteriosus aneurysm with community-acquired methicillin-resistant Staphylococcus aureus infection and spontaneous rupture : A potentially fatal quandary. / Stewart, Audra; Dyamenahalli, Umesh; Greenberg, S. Bruce; Drummond-Webb, Jonathan.

In: Pediatrics, Vol. 117, No. 6, 06.2006.

Research output: Contribution to journalArticle

Stewart, Audra ; Dyamenahalli, Umesh ; Greenberg, S. Bruce ; Drummond-Webb, Jonathan. / Ductus arteriosus aneurysm with community-acquired methicillin-resistant Staphylococcus aureus infection and spontaneous rupture : A potentially fatal quandary. In: Pediatrics. 2006 ; Vol. 117, No. 6.
@article{b567d9c4afe249de825c4807a1d9e34f,
title = "Ductus arteriosus aneurysm with community-acquired methicillin-resistant Staphylococcus aureus infection and spontaneous rupture: A potentially fatal quandary",
abstract = "We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph. Comprehensive evaluation discovered a ductus arteriosus aneurysm and pericardial effusion with methicillin-resistant Staphylococcus aureus bacteremia. Despite pericardiocentesis and appropriate intravenous antibiotics, there was rapid enlargement of the aneurysm and accumulation of echogenic material within the ductus arteriosus aneurysm. Infected aneurysm rupture was identified during emergency surgery. This infant also had vocal cord paresis, a likely complication of the surgery. The clinical course, diagnosis, and treatment of this patient are discussed. Infection of a ductus arteriosus or an infected ductal arteriosus aneurysm is a rare and potentially fatal clinical entity. In the era of increasing community-acquired methicillinresistant S aureus infections, this is a diagnosis that requires a high index of suspicion.",
keywords = "Cardiology, Ductus arteriosus aneurysm, Pediatrics",
author = "Audra Stewart and Umesh Dyamenahalli and Greenberg, {S. Bruce} and Jonathan Drummond-Webb",
year = "2006",
month = "6",
doi = "10.1542/peds.2005-0897",
language = "English (US)",
volume = "117",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "6",

}

TY - JOUR

T1 - Ductus arteriosus aneurysm with community-acquired methicillin-resistant Staphylococcus aureus infection and spontaneous rupture

T2 - A potentially fatal quandary

AU - Stewart, Audra

AU - Dyamenahalli, Umesh

AU - Greenberg, S. Bruce

AU - Drummond-Webb, Jonathan

PY - 2006/6

Y1 - 2006/6

N2 - We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph. Comprehensive evaluation discovered a ductus arteriosus aneurysm and pericardial effusion with methicillin-resistant Staphylococcus aureus bacteremia. Despite pericardiocentesis and appropriate intravenous antibiotics, there was rapid enlargement of the aneurysm and accumulation of echogenic material within the ductus arteriosus aneurysm. Infected aneurysm rupture was identified during emergency surgery. This infant also had vocal cord paresis, a likely complication of the surgery. The clinical course, diagnosis, and treatment of this patient are discussed. Infection of a ductus arteriosus or an infected ductal arteriosus aneurysm is a rare and potentially fatal clinical entity. In the era of increasing community-acquired methicillinresistant S aureus infections, this is a diagnosis that requires a high index of suspicion.

AB - We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph. Comprehensive evaluation discovered a ductus arteriosus aneurysm and pericardial effusion with methicillin-resistant Staphylococcus aureus bacteremia. Despite pericardiocentesis and appropriate intravenous antibiotics, there was rapid enlargement of the aneurysm and accumulation of echogenic material within the ductus arteriosus aneurysm. Infected aneurysm rupture was identified during emergency surgery. This infant also had vocal cord paresis, a likely complication of the surgery. The clinical course, diagnosis, and treatment of this patient are discussed. Infection of a ductus arteriosus or an infected ductal arteriosus aneurysm is a rare and potentially fatal clinical entity. In the era of increasing community-acquired methicillinresistant S aureus infections, this is a diagnosis that requires a high index of suspicion.

KW - Cardiology

KW - Ductus arteriosus aneurysm

KW - Pediatrics

UR - http://www.scopus.com/inward/record.url?scp=33745323465&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745323465&partnerID=8YFLogxK

U2 - 10.1542/peds.2005-0897

DO - 10.1542/peds.2005-0897

M3 - Article

C2 - 16702249

AN - SCOPUS:33745323465

VL - 117

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 6

ER -