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Coxiella burnetii infection of an aortic graft with multiple vertebral body erosion.

Abstract
Q fever is caused by Coxiella burnetii and often has an insidious clinical presentation. We describe a rare case of Q fever infection of an aortic graft presenting with pyrexia and constant severe midlumbar pain due to erosion of multiple vertebral bodies. After successful treatment with graft resection and extra-anatomic vascular reconstruction, the patient continues on lifelong antibiotic therapy. We also present regional Q fever epidemiologic data together with a review of all previously documented cases of Q fever infections of vascular prostheses.
AuthorsMark Edward O'Donnell, Novin Manshani, Conall McCaughey, Chee Soong, Bernard Lee
JournalJournal of vascular surgery (J Vasc Surg) Vol. 45 Issue 2 Pg. 399-403 (Feb 2007) ISSN: 0741-5214 [Print] United States
PMID17264024 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Adult
  • Aged
  • Aneurysm, False (etiology, microbiology)
  • Aneurysm, Infected (etiology, microbiology)
  • Anti-Bacterial Agents (therapeutic use)
  • Aortic Aneurysm, Abdominal (surgery)
  • Blood Vessel Prosthesis Implantation (adverse effects)
  • Coxiella burnetii (isolation & purification)
  • Device Removal
  • Female
  • Femoral Artery (microbiology)
  • Humans
  • Lumbar Vertebrae (pathology)
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Osteomyelitis (etiology, microbiology, pathology)
  • Prosthesis-Related Infections (etiology, microbiology, therapy)
  • Q Fever (complications, drug therapy, microbiology)
  • Spinal Diseases (etiology, microbiology, pathology)
  • Tomography, X-Ray Computed

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