Q fever (Coxiella burnetii) causing an infected thoracoabdominal aortic aneurysm.

Abstract

We report a patient, which we believe is the first, with a thoracoabdominal aortic aneurysm, Crawford type IV, caused by Q fever (Coxiella burnetii). Treatment consisted of antibiotic therapy started preoperatively and continued postoperatively and an open repair, including resection of the infected aneurysm, replacement with a rifampin-soaked polyester graft, and an omental wrap covering the grafts. After 13 months of follow-up, the patient had no signs of infection, and results of laboratory findings were normal.

• Authors: Bianca L W Bendermacher, Arnoud G Peppelenbosch, Jan Willem H C Daemen, Astrid M L Oude Lashof, Michael J Jacobs
• Journal: Journal of vascular surgery (J Vasc Surg) Vol. 53 Issue 5 Pg. 1402-4 (May 2011) ISSN: 1097-6809 [Electronic] United States
• PMID: 21276689 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

Chemical References

• Anti-Bacterial Agents
• Coated Materials, Biocompatible
• DNA, Bacterial
• Polyesters
• Rifampin

Topics

• Aneurysm, Infected (diagnostic imaging, microbiology, surgery)
• Anti-Bacterial Agents (administration & dosage)
• Aortic Aneurysm, Thoracic (diagnostic imaging, microbiology, surgery)
• Aortography (methods)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (instrumentation)
• Coated Materials, Biocompatible
• Coxiella burnetii (genetics, pathogenicity)
• DNA, Bacterial (isolation & purification)
• Humans
• Male
• Middle Aged
• Omentum (surgery)
• Polyesters
• Prosthesis Design
• Q Fever (complications, drug therapy, microbiology)
• Rifampin (administration & dosage)
• Surgical Flaps
• Tomography, X-Ray Computed
• Treatment Outcome