Esophageal Lesion Reveals an Aortic Pseudoaneurysm in the Setting of Actinomyces odontolyticus Bacteremia

Anneliese Grewing, DO, MS; Harsha Jujjavarapu, MD; Cameron Price, MD; Lindsay F. Eilers, MD; Sloane Zimmerman, MD; Nahid Hiermandi, DO; Athar M. Qureshi, MD; Richard Kellermeyer, MD, PhD; Jolie J. Britt, MD

JACC: Case Reports (Jun 2023)

Esophageal Lesion Reveals an Aortic Pseudoaneurysm in the Setting of Actinomyces odontolyticus Bacteremia

Anneliese Grewing, DO, MS,
Harsha Jujjavarapu, MD,
Cameron Price, MD,
Lindsay F. Eilers, MD,
Sloane Zimmerman, MD,
Nahid Hiermandi, DO,
Athar M. Qureshi, MD,
Richard Kellermeyer, MD, PhD,
Jolie J. Britt, MD

Affiliations

Anneliese Grewing, DO, MS: Address for correspondence: Dr Anneliese Grewing, Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, 1 Baylor Plaza #32, Houston, Texas 77030, USA.; Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Harsha Jujjavarapu, MD: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Cameron Price, MD: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Lindsay F. Eilers, MD: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Sloane Zimmerman, MD: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Nahid Hiermandi, DO: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Athar M. Qureshi, MD: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Richard Kellermeyer, MD, PhD: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA
Jolie J. Britt, MD: Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA

Journal volume & issue: Vol. 15
p. 101867

Abstract

Read online

A toddler presented with hematemesis a few weeks after ingesting a penny. Workup revealed an esophageal lesion communicating with an aortic pseudoaneurysm in the setting of Actinomyces odontolyticus bacteremia. A. odontolytica is an oropharyngeal bacteria known to cause fistulas when introduced into tissue planes. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

Keywords