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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. III MD

Infectious Diseases in Clinical Practice: September 2013 - Volume 21 - Issue 5 - p 320–322
doi: 10.1097/IPC.0b013e318279eb55
Case Reports

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.

From the *Thomas Jefferson University, Jefferson Medical College and †Christiana Care Health System, Wilmington, DE.

Correspondence to: Michael P. Gannon, BS, Department of Medicine, Thomas Jefferson University, Jefferson Medical College, 1025 Walnut St, 805 College, Philadelphia, PA 19107. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2013 by Lippincott Williams & Wilkins.