Background:  Non-aneurysmal infectious aortitis is a rare clinical entity with most often lethal complications when surgical intervention is delayed.

Objectives:  This report describes the case of a non-aneurysmal infectious aortitis complicated with a penetrating aortic ulcer in an elderly woman, caused by a methicillin-sensitive Staphylococcus aureus. Surgery was deemed contra-indicated and treatment was limited to the administration of intravenous vancomycin (2 grams daily), followed by flucloxacillin (6 times 2 grams daily). She remains well after one year.

Methods: The Internet databases Medline and Embase were searched. Articles were selected based on relevanceof abstract, article type and impact of the journal.

Results:  A literature review addresses current insights in the pathogenesis, diagnosis, and treatment of non-aneurysmal infectious aortitis.

Download full-text PDF

Source
http://dx.doi.org/10.1080/17843286.2018.1467586DOI Listing

Publication Analysis

Top Keywords

infectious aortitis
16
non-aneurysmal infectious
12
treatment non-aneurysmal
8
grams daily
8
conservative treatment
4
infectious
4
aortitis
4
aortitis case
4
case report
4
report review
4

Similar Publications

Objectives: Onco-rheumatology, the intersection of oncology and rheumatology, is an emerging field requiring further definition. This study aimed to identify the knowledge and skills essential for rheumatologists in clinical oncology.

Methods: We retrospectively reviewed consultations with the onco-rheumatology department of a high-volume tertiary cancer centre in Japan from January 2020 to December 2023.

View Article and Find Full Text PDF

Introduction: Melioidosis is caused by Burkholderia pseudomallei and primarily affects non-vascular organ systems. We present a case of a melioidotic penetrating aortic ulcer (PAU) with unusual clinical features of vascular infection. The patient was successfully treated with a single-stage neoaortoiliac system procedure, highlighting the challenges in managing melioidotic aortic infections.

View Article and Find Full Text PDF

This case report explores the utility of monitoring automated rapid plasma reagin (RPR) test results in both serum and cerebrospinal fluid (CSF) samples from a patient undergoing treatment for neurosyphilis. Syphilis treatment is based on the rapid plasma reagin (RPR) and syphilis treponema antibody levels, and in the case of RPR-positive syphilis, a 1/4 reduction in the RPR value by the manual card test is considered curative. However, it should be noted that when RPR is followed by the manual card test, there may seem to be no reduction when the automated method shows a steady reduction.

View Article and Find Full Text PDF
Article Synopsis
  • Aortitis is the inflammation of the aorta, classified into infective, non-infective, or idiopathic types, with infective cases requiring urgent treatment due to potential complications.
  • This study focused on 15 patients who underwent urgent endovascular repair for infective aortitis from January 2019 to January 2024, revealing a 100% technical success rate in a high-risk surgical setting.
  • Key findings included a 13% early mortality rate within 30 days post-procedure, with all patients confirmed to have infective aortitis through positive blood cultures, highlighting the serious nature of the condition.
View Article and Find Full Text PDF
Article Synopsis
  • Infective and inflammatory aortic aneurysms are serious and rare conditions vascular surgeons encounter, requiring a thorough evaluation for proper management.
  • Treatment is highly specialized, using various imaging techniques to diagnose and monitor the condition, while both open and endovascular surgeries can be options but lack a clear superiority.
  • Long-term treatment often includes antibiotics or immunosuppressants and involves collaboration with specialists to ensure comprehensive care based on the patient's individual needs.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!