PMC7750026_01
Clinical course of infected abdominal aorta aneurysm secondary to streptococcal toxic shock syndrome in a 75-year-old man, with C-reactive protein levels (CRP) and treatment. AVP, vasopressin; CHDF, continuous hemodiafiltration; CLDM, clindamycin; FC, fludrocortisone; HC, hydrocortisone; IVIG, i.v. immunoglobulin; NAD, noradrenaline; PCG, penicillin G; PIPC, piperacillin; TAZ, tazobactam; TM, thrombomodulin; VCM, vancomycin.
AMS2-7-e617-g001.jpg
PMC7750026_01_AMS2-7-e617-g001.jpg
ams2617-fig-0001
Furthermore, hydrocortisone, fludrocortisone, i.v. immunoglobulin, and thrombomodulin were also given for 6, 7, 3, and 5 days, respectively (Fig. 1). Despite treatment, the C-reactive protein levels did not decrease below 8 mg/dL (Fig. 1).
Enhanced computed tomography images of an infected abdominal aorta aneurysm secondary to streptococcal toxic shock syndrome in a 75-year-old man. Images show the aortic aneurysm on day 2 (A) and day 30 (B-D). Arrows (B,D) indicate the increased size of the aneurysm compared to the size noted in the previous computed tomography examination. Arrowheads (C) indicate the enhanced aneurysm wall and saccular appearance of the aneurysm.
AMS2-7-e617-g002.jpg
PMC7750026_01_AMS2-7-e617-g002.jpg
ams2617-fig-0002
IAA (Fig. 2).