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Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849896/ https://www.ncbi.nlm.nih.gov/pubmed/31724588 http://dx.doi.org/10.1016/j.jvsc.2015.12.003 |
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author | Zhao, Lin-Pierre Pellenc, Quentin Pasi, Nicoletta Benali, Khadija Deschamps, Lydia Sacre, Karim |
author_facet | Zhao, Lin-Pierre Pellenc, Quentin Pasi, Nicoletta Benali, Khadija Deschamps, Lydia Sacre, Karim |
author_sort | Zhao, Lin-Pierre |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6849896 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-68498962019-11-13 Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever Zhao, Lin-Pierre Pellenc, Quentin Pasi, Nicoletta Benali, Khadija Deschamps, Lydia Sacre, Karim J Vasc Surg Cases Article 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. Elsevier 2016-01-29 /pmc/articles/PMC6849896/ /pubmed/31724588 http://dx.doi.org/10.1016/j.jvsc.2015.12.003 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Zhao, Lin-Pierre Pellenc, Quentin Pasi, Nicoletta Benali, Khadija Deschamps, Lydia Sacre, Karim Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever |
title | Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever |
title_full | Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever |
title_fullStr | Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever |
title_full_unstemmed | Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever |
title_short | Massive retroperitoneal aortoiliac aneurysm rupture revealing chronic Q fever |
title_sort | massive retroperitoneal aortoiliac aneurysm rupture revealing chronic q fever |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849896/ https://www.ncbi.nlm.nih.gov/pubmed/31724588 http://dx.doi.org/10.1016/j.jvsc.2015.12.003 |
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