Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever

详细信息    查看全文

• 作者：Lin-Pierre Zhao ; MD^a ; Quentin Pellenc ; MD^b ; Nicoletta Pasi ; MD^c ; Khadija Benali ; MD^d ; Lydia Deschamps ; MD^e ; Karim Sacre ; MD ; PhD^a ; ^f ; ^g ; ^{karim.sacre@bch.aphp.fr" class="auth_mail" title="E-mail the corresponding author}
• 刊名：Journal of Vascular Surgery Cases
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：2
• 期：1
• 页码：1-3
• 全文大小：761 K

文摘

Chronic Coxiella burnetii vascular infection is rare and usually develops on a pre-existing vascular lesion, such as an aneurysm or vascular prosthesis. We report a case of proven C. burnetii aortic infection revealed by a massive retroperitoneal aortoiliac aneurysm rupture in a patient at apparent low risk for chronic Q fever. Emergency treatment consisted of resection of the infected aneurysm and replacement with an in situ graft angioplasty. Doxycycline and hydroxychloroquine therapy was started postoperatively. After 6 months of follow-up, the patient had no signs of infection, and C. burnetii serologic antibody titers had significantly decreased.