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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e318279eb55
Case Reports

Ruptured Peroneal Mycotic Aneurysm Secondary to Streptococcus pneumoniae Empyema Without Aortic Involvement

Gannon, Michael P. BS*; Daya, Sneha S. MD; Santoro, Peter M. MD; Ierardi, Ralph P. MD; Emmons, Wesley W. MD

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Abstract

Mycotic aneurysms are rare and associated with a high mortality owing to their common association with endocarditis and aortic aneurysms. We present a case of a right-sided pneumococcal empyema causing a peroneal artery aneurysm and subsequent rupture. The diagnosis and management of peripheral artery mycotic aneurysms are discussed as well as the incidence of Streptococcus pneumoniae as a pathogen.

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