{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T17:57:34Z","timestamp":1774115854998,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T00:00:00Z","timestamp":1564531200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2019,7,31]]},"abstract":"<jats:p>A 70-year-old male with a complex past medical history presents with confusion and slurred speech for 24\u2009hours. His exam was unremarkable, and his CT head was negative. Both his C-reactive protein and white blood cell count were elevated. As part of the delirium workup, blood cultures were done which grew <jats:italic>Streptococcus pyogenes<\/jats:italic> with no obvious source. He was treated with appropriate antibiotics. To determine the source, a white blood cell scan was done, which showed increased localization within a left-sided upper mediastinum mass. Subsequently, chest CT scan with contrast showed an acute type B aortic dissection with mycotic aneurysm. Consequently, he was taken urgently for surgical management. He completed 6\u2009weeks of penicillin G and was discharged to a rehabilitation center. This case illustrates both a rare entity, mycotic aneurysm secondary to <jats:italic>Streptococcus pyogenes,<\/jats:italic> and the importance of getting an Infectious Diseases consult in the setting of an unknown source of bacteremia.<\/jats:p>","DOI":"10.1155\/2019\/3035494","type":"journal-article","created":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T19:30:46Z","timestamp":1564601446000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["An Unusual Case of <i>Streptococcus pyogenes<\/i> Causing Ruptured Aortic Mycotic Aneurysm"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-2979","authenticated-orcid":true,"given":"Ali","family":"Someili","sequence":"first","affiliation":[{"name":"Department of Medicine, McMaster University, 1280 Main St W, Hamilton, ON L8S 4L8, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjali","family":"Shroff","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, McMaster University, 1280 Main St W, Hamilton, ON L8S 4L8, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/9329504"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00897-13"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.5090\/kjtcs.2017.50.6.430"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2004.05.013"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.4081\/idr.2013.e11"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.3400\/avd.cr.16-00126"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.114.009481"},{"issue":"1","key":"8","first-page":"97","volume":"85","year":"2012","journal-title":"Yale Journal of Biology and Medicine"},{"issue":"2","key":"9","first-page":"2019","volume":"28","year":"2019","journal-title":"Journal of Vascular Surgery"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s002460010054"},{"issue":"4","key":"11","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1111\/j.1440-1673.1994.tb00206.x","volume":"38","year":"1994","journal-title":"Australasian Radiology"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31826154c5"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2008.03.003"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1177\/021849230601400613"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1093\/clind\/15.3.525"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199205000-00005"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.10.017"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(84)90040-5"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.131.6.1019"},{"issue":"7","key":"20","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1086\/367932","volume":"36","year":"2003","journal-title":"Clinical Infectious Diseases"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis381"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526.37.2.143"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.3400\/avd.ctiia09002"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.110356"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2010.07.017"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1148\/rg.287085054"},{"issue":"2","key":"27","first-page":"2019","volume":"28","year":"2019","journal-title":"Endozioni Minerva Medica"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/3035494.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/3035494.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/3035494.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,31]],"date-time":"2019-07-31T19:30:51Z","timestamp":1564601451000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2019\/3035494\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,31]]},"references-count":27,"alternative-id":["3035494","3035494"],"URL":"https:\/\/doi.org\/10.1155\/2019\/3035494","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,31]]}}}