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  • Title: Ruptured mycotic aneurysm presenting initially with bacterial meningitis.
    Author: Mincheff TV, Cooler AW.
    Journal: Am Surg; 2008 Jan; 74(1):73-5. PubMed ID: 18274435.
    Abstract:
    Infections of the major vessels can result in the formation of mycotic aneurysms, which can ultimately rupture and can be associated with a high mortality rate. Mycotic aneurysms can pose a diagnostic dilemma for the clinicians and successful treatment of this condition often requires a very high index of suspicion. We report an unusual case of a 65-year-old black female who initially presented with bacterial meningitis due to Streptococcus pneumoniae and 1 week later died from a ruptured undetected mycotic aneurysm. A similar case, in which a mycotic aneurysm initially presented with bacterial meningitis, could not be found in the literature.
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