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. 2021 Mar 25;14(1):71–74. doi: 10.3400/avd.cr.20-00133

Table 1 A summary of 12 cases diagnosed with infected aortic aneurysm induced by S. zooepidemicus.

Case Year Reference Age/Sex Underlying disease Source of isolate Cause of infection Diagnosis Operation Antibiotics Outcome
1 1982 5) 65/M none aortic wall unknown infrarenal aneurysm bifurcated Dacron graft cephalothin, gentamicin, metronidazole followed by iv. penicillin for 4 weeks well
2 1982 5) 62/M cirrosis of the liver portal hypertension aortic wall unknown infrarenal aneurysm bifurcated Dacron graft iv. amoxycillin and gentamicin died due to cardiac failure on POD 10
3 1988 6) 73/M ischaemic HD vegetations blood unpasteurized milk AAA meningitis endocarditis none unknown died due to raptured AAA
4 1990 7) 62/M cirrosis of the liver portal hypertension aortic wall blood undercooked pork AAA bifurcated Dacron graft iv. amoxycillin and gentamicin died
5 1990 7) 65/M intravascular infection aortic wall blood undercooked pork AAA bifurcated Dacron graft iv. benzylpenicillin well
6 2006 3) 59/M HT, DM blood fresh cheese infrarenal aneurysm aortobifemoral graft iv. penicillin and gentamicin for three weeks oral TMP-SMX for 6 months well
7 2006 3) 68/M HT, DM, COPD blood fresh cheese suprarenal aneurysm aortoaortic graft left renal artery reimplanted iv. penicillin and gentamicin died due to small intestinal necrosis on POD 3
8 2006 3) 69/M HT, DM blood fresh cheese descending TAA thoracic endograft iv. penicillin and gentamicin died due to sepsis on POD 2
9 2013 8) 49/M none aortic wall horse trainer trauma AAA Y-prosthesis iv. piperacillin-tazobactam followed by iv. penicillin later well
10 2019 2) 70/M hypothyroidism, DLP blood taxidermist contact with a deceased horse AAA right CIAA autologus vein reconstruction (both superficial femral veins) iv. penicillin for 6 weeks oral penicillin at home well
11 2020 4) 79/M DM, DLP, MG blood unknown possibly spinal facet injections AAA EVAR iv. clindamycin for 6 weeks oral clindamycin for 3 months well
12 2020 present case 66/M none aortic wall horse keeper trauma infrarenal aneurysm bifurcated Dacron graft iv. cefazolin for 2 weeks oral clavulanate/amoxicillin for 4 months well

HT: hypertension; DM: diabetes mellitus; COPD: chronic obstructive pulmonary disease; DLP: dyslipidemia; HD: heart disease; TAA: thoracic aortic aneurysm; AAA: abdominal aortic aneurysm; TMP-SMX: Trimethoprim-sulfamethoxazole; CIAA: common iliac artery aneurysm; MG: myasthenia gravis; EVAR: endovascular aneurysm repair; POD: post-operative day