Infectious aortitis from pyogenic spondylitis and psoas abscess: Case report.

Abstract

Infectious aortitis has various causes, presents mainly with an aneurysm, and is fatal without surgical intervention. This case report describes an 89-year-old woman who developed fever and back pain which initially diagnosed infectious aortitis confirmed through contrast-enhanced computed tomography (CT). Pyogenic spondylitis and psoas abscess, which were not visible through CT at admis-sion, were identified as the cause of infectious aortitis confirmed through positron emission tomography (PET). After percutaneous drainage and intravenous antibiotics, the patient was discharged in good condition and without surgical intervention. This case report emphasizes the critical role of PET in identifying the cause of infectious aortitis and demonstrates the effectiveness of successive treat-ment with antibiotics and timely radiologic intervention.

• Authors: Kwang Yul Jung, Hosub Chung
• Journal: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES (Ulus Travma Acil Cerrahi Derg) Vol. 28 Issue 7 Pg. 1016-1019 (Jul 2022) ISSN: 1307-7945 [Electronic] Turkey
• Vernacular Title: Piyojenik spondilit ve psoas apsesine bağlı enfeksiyöz aortit: Olgu sunumu.
• PMID: 35775686 (Publication Type: Case Reports)

Chemical References

• Anti-Bacterial Agents

Topics

• Aged, 80 and over
• Anti-Bacterial Agents (therapeutic use)
• Aortitis (diagnostic imaging, drug therapy)
• Female
• Humans
• Psoas Abscess (diagnostic imaging, therapy)
• Spondylitis (diagnostic imaging, drug therapy)
• Tomography, X-Ray Computed (methods)