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Zoonotic aortic graft infection by Streptococcusequi.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy    December 16, 2025   Volume 32, Issue 1 102900 doi: 10.1016/j.jiac.2025.102900
Karaushi H, Yoshitake A, Kanazawa Y, Watanabe N, Tokano M, Seki M, Mitsutake K.A 69-year-old woman with hypertension had undergone total arch replacement with an open stent graft 7 years prior. She was referred to our hospital for evaluation after experiencing fever (>38 °C) and cough. Chest radiography revealed a prominent aortic arch, and contrast-enhanced computed tomography demonstrated aortic arch enlargement and peri-graft fluid collection containing air. These findings indicated graft infection and prompted immediate intervention. Blood cultures grew Streptococcus equi subspecies zooepidemicus, a zoonotic pathogen associated with horses. Notably, the patient wor...