Brucella aortitis: an underdiagnosed and under‐reported disease

Iaria, Chiara

doi:10.1111/1756-185x.12449

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…When we asked about the patient's daily activity, he told us he sometimes helped his brother, a farmer who ran a sheep farm. Infected abdominal aortic aneurysm due to Brucellosis is rare, only 46 cases of Brucella aortitis being published in the literature (Cascio and Iaria, 2014). Our patient was quite unique because he was afebrile and did not have abdominal pain.…”

mentioning

confidence: 77%

FDG PET/CT in infected abdominal aortic aneurysm due to Brucellosis

Yaagoubi¹,

Hazouard²,

Prunier-Aesch³

et al. 2021

International Journal of Infectious Diseases

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Case presentationA 66-year-old man with a history of aortic aneurysm, treated 5 years before by endovascular aneurysm repair (EVAR), underwent a follow-up CT angiography showing an increased aneurysm size to 64 mm, a proximal endoleak, and an inflammatory thickening of the aneurysm wall. The patient did not have fever or abdominal pain. Laboratory tests showed a normal blood count, a slightly elevated C-reactive protein and a normal procalcitonin.

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mentioning

confidence: 77%

FDG PET/CT in infected abdominal aortic aneurysm due to Brucellosis

Yaagoubi¹,

Hazouard²,

Prunier-Aesch³

et al. 2021

International Journal of Infectious Diseases

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“…Aortic involvement in Brucella infection is usually a mycotic aneurysm; However, pseudoaneurysms and dissecting aneurysms have also been reported. 4,5 These aneurysms later form a fistula with the surrounding structures, like aortoesophageal fistula, 6 aortobronchial fistula, 7 and aortoduodenal fistula. 8 Aortoduodenal fistulas present with a classical triad of symptoms; gastrointestinal bleeding, abdominal pain, and pulsating abdominal mass.…”

Section: Introductionmentioning

confidence: 99%

“…However, infective endocarditis can secondarily be the cause of aneurysms in the peripheral arteries. Aortic involvement in Brucella infection is usually a mycotic aneurysm; However, pseudoaneurysms and dissecting aneurysms have also been reported 4,5 . These aneurysms later form a fistula with the surrounding structures, like aortoesophageal fistula, 6 aortobronchial fistula, 7 and aortoduodenal fistula 8…”

Section: Introductionmentioning

confidence: 99%

Aortoduodenal fistula and abdominal aortic aneurysm as a complication of Brucella Aortitis managed with Insitu aortic aneurysm repair: A case report

Hosseinzadeh,

Zehra,

Davarpanah

et al. 2023

Clinical Case Reports

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Key Clinical MessageBrucella aortitis should be one of the differential diagnoses of inflammatory aortic aneurysms. In situ repair of intermittent aortoenteric fitulae and repair of infrarenal aortic aneurysm with synthetic graft can be used in clean scarred fistulae.AbstractArterial aneurysms are very rare complications of Brucella infection. The purpose of this case report is to document a case of abdominal aortic aneurysm and primary aorto‐duodenal fistula as a complication of Brucella infection, along with the management of brucella induced aortoenteric fistula with insitu synthetic graft. We report a 53‐year‐old man with a complaint of abdominal pain and melena. Radiological evaluation revealed an inflammatory abdominal aortic aneurysm and a primary aorto‐duodenal fistula was identified during surgery. The patient underwent laparotomy, and surgical repair of the aneurysm with a bifurcated Dacron graft, while the entry of the aorto‐duodenal fistula was closed with intra‐aortic sutures. One month later, the patient tested positive for the Wright agglutination test (1:80) and Coomb's test (1:640) for brucella, and was treated with doxycycline, rifampicin, and ciprofloxacin for brucellosis. Though rare, brucella aortitis should be considered as one of the differential diagnoses of inflammatory aortic aneurysms. In situ repair of intermittent aortoenteric fistula and repair of the infrarenal aortic aneurysm with synthetic graft could be considered in a clean scarred fistula.

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“… Atherosclerosis, diabetes mellitus, ICH, hemoglobinopathies, abnormal intestinal mucosal barrier; eating of contaminated food ‡ aorta (abdominal > thoracic) [ 115 ] (ii) Coxiella burnetii Travel to or migration from endemic regions; close contact to animals (e.g., cattle); occupational exposure (veterinarian, farmer); ICH; pregnancy ‡ aorta, mostly abdominal; + / − axillary [ 116 , 117 ] + / − TA, “PAN-like” possible (hepatic) [ 117 , 118 ] Brucella spp. Occupational exposure (farmer, animal breeder, butcher), travel to or migration from endemic regions, drinking of unpasteurized milk ‡ aorta (abdominal > thoracic), ICA [ 119 , 120 ] + / − cerebral, dural sinus [ 120 ] Francisella tularensis Outdoor activity or outdoor profession (e.g., forester, hunter), exposure to rodents, tick bites, contaminated material ‡ aorta (abdominal) [ 121 ] (ii) Viruses Varicella Zoster virus Any age, ICH at risk + / − ICA, vertebral arteries [ 106 •, 122 ] + / − cerebral [ 106 •, 122 ] Herpes Simplex virus Any age; with or without comorbidities + / − ICA [ 123 ] ‡ cerebral [ 123 , 124 ] Cytomegalovirus Usually in heavily ICH (ii) ‡ “PAN-like” (distal extremities, renal, splanchnic) [ 125 , 126 ] HIV …”

Section: Introductionmentioning

confidence: 99%

Spectrum of Large- and Medium-Vessel Vasculitis in Adults: Neoplastic, Infectious, Drug-Induced, Autoinflammatory, and Primary Immunodeficiency Diseases

et al. 2022

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Purpose of Review To provide a comprehensive review of drugs and neoplastic, infectious, autoinflammatory, and immunodeficiency diseases causing medium- to large-vessel vasculitis in adults with emphasis on information essential for the initial diagnostic process. Recent Findings Entities with medium- to large-vessel vasculitis as clinical manifestations have been described recently (e.g., adenosine deaminase-2 deficiency, VEXAS-Syndrome), and vasculitis in established autoinflammatory or immunodeficiency diseases is increasingly being identified. Summary In the diagnostic process of medium- to large-vessel vasculitis in adults, a large variety of rare diseases should be included in the differential diagnosis, especially if diagnosis is made without histologic confirmation and in younger patients. Although these disorders should be considered, they will undoubtedly remain rare in daily practice.

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Brucella aortitis: an underdiagnosed and under‐reported disease

Cited by 4 publications

References 2 publications

FDG PET/CT in infected abdominal aortic aneurysm due to Brucellosis

FDG PET/CT in infected abdominal aortic aneurysm due to Brucellosis

Aortoduodenal fistula and abdominal aortic aneurysm as a complication of Brucella Aortitis managed with Insitu aortic aneurysm repair: A case report

Spectrum of Large- and Medium-Vessel Vasculitis in Adults: Neoplastic, Infectious, Drug-Induced, Autoinflammatory, and Primary Immunodeficiency Diseases

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