AI Article Synopsis
- Infectious aortitis is a rare condition caused by fungal, viral, or bacterial infections, often discovered during the evaluation of other illnesses due to its hematogenous spread from sources like the heart or gastrointestinal tract.
- A case study discusses a 60-something woman with a history of heart problems who was hospitalized for gallbladder complications; imaging revealed signs of aortitis and positive blood cultures confirmed the diagnosis.
- The patient received intravenous antibiotics, underwent nutritional optimization, and had surgery involving aortic resection and graft placement for treatment.
Article Abstract
Infectious aortitis is a rare disease process which can be of fungal, viral or bacterial aetiology. This disease process is often incidentally found during concomitant infectious processes, likely due to haematogenous spread. Common sources are from cardiac, genitourinary and gastroenterologic sources. CT imaging of the aorta is essential in identifying physiological changes-wall thickness changes, ectasia and stenosis. We present a case of a female in her early 60s with a medical history of cardiomyopathy with heart failure and reduced ejection fraction, who was initially admitted for acute cholecystitis complicated by the development of gallstone pancreatitis. Imaging evaluation incidentally noted findings consistent with aortitis with a penetrating ulcer, and blood cultures were positive for bacteraemia, confirming her diagnosis of infectious aortitis. She was started on intravenous antibiotics, required preoperative nutritional optimisation, and subsequently underwent an open aortic resection and aortoiliac reconstruction with rifampin-soaked Dacron graft.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982747 | PMC |
| http://dx.doi.org/10.1136/bcr-2023-257509 | DOI Listing |
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