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Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report

INTRODUCTION: Infective aortitis has become uncommon since the advent of antibiotic therapy. Aortitis, presenting as a localised perforation in a non-aneurysmal aorta, is extremely rare. We report the case of an 82-year-old woman who was diagnosed with localised perforation of a non-aneurysmal abdom...

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Autores principales: Kumar, Manoj, Barakat, Tariq, Timmons, Grace, Mudawi, Ahmed
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767144/
https://www.ncbi.nlm.nih.gov/pubmed/19918282
http://dx.doi.org/10.4076/1752-1947-3-8958
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author Kumar, Manoj
Barakat, Tariq
Timmons, Grace
Mudawi, Ahmed
author_facet Kumar, Manoj
Barakat, Tariq
Timmons, Grace
Mudawi, Ahmed
author_sort Kumar, Manoj
collection PubMed
description INTRODUCTION: Infective aortitis has become uncommon since the advent of antibiotic therapy. Aortitis, presenting as a localised perforation in a non-aneurysmal aorta, is extremely rare. We report the case of an 82-year-old woman who was diagnosed with localised perforation of a non-aneurysmal abdominal aorta secondary to staphylococcus aortitis. CASE PRESENTATION: An 82-year-old woman presented with a history of a sudden onset of back pain and pyrexia. A clinical examination did not reveal any significant findings attributable to her sepsis. As her clinical condition deteriorated rapidly, adequate resuscitation was commenced. Appropriate serology and radiological investigations, including a computed tomography scan, were performed. The computed tomography scan revealed a diagnosis of a non-aneurysmal infective abdominal aortitis with evidence of localised perforation. This was successfully treated under local anaesthetic with endovascular aortic repair and appropriate antibiotics. She recovered fully and was completely asymptomatic a year later. CONCLUSION: A detailed assessment is essential in the diagnosis of this condition as it can frequently be missed on initial evaluation of the affected patient. Clinical features are often nonspecific and can include fever, leucocytosis and bacteremia in the absence of a pulsatile or expansile mass. The patient may also complain of back pain, as in this case report. Thorough assessment, timely investigation and endovascular intervention prevented a potentially fatal condition in our patient.
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spelling pubmed-27671442009-11-16 Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report Kumar, Manoj Barakat, Tariq Timmons, Grace Mudawi, Ahmed J Med Case Reports Research article INTRODUCTION: Infective aortitis has become uncommon since the advent of antibiotic therapy. Aortitis, presenting as a localised perforation in a non-aneurysmal aorta, is extremely rare. We report the case of an 82-year-old woman who was diagnosed with localised perforation of a non-aneurysmal abdominal aorta secondary to staphylococcus aortitis. CASE PRESENTATION: An 82-year-old woman presented with a history of a sudden onset of back pain and pyrexia. A clinical examination did not reveal any significant findings attributable to her sepsis. As her clinical condition deteriorated rapidly, adequate resuscitation was commenced. Appropriate serology and radiological investigations, including a computed tomography scan, were performed. The computed tomography scan revealed a diagnosis of a non-aneurysmal infective abdominal aortitis with evidence of localised perforation. This was successfully treated under local anaesthetic with endovascular aortic repair and appropriate antibiotics. She recovered fully and was completely asymptomatic a year later. CONCLUSION: A detailed assessment is essential in the diagnosis of this condition as it can frequently be missed on initial evaluation of the affected patient. Clinical features are often nonspecific and can include fever, leucocytosis and bacteremia in the absence of a pulsatile or expansile mass. The patient may also complain of back pain, as in this case report. Thorough assessment, timely investigation and endovascular intervention prevented a potentially fatal condition in our patient. BioMed Central 2009-09-09 /pmc/articles/PMC2767144/ /pubmed/19918282 http://dx.doi.org/10.4076/1752-1947-3-8958 Text en Copyright ©2009 licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
Kumar, Manoj
Barakat, Tariq
Timmons, Grace
Mudawi, Ahmed
Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
title Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
title_full Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
title_fullStr Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
title_full_unstemmed Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
title_short Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
title_sort nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767144/
https://www.ncbi.nlm.nih.gov/pubmed/19918282
http://dx.doi.org/10.4076/1752-1947-3-8958
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