Patología aórtica no urgente: diagnóstico clínico-radiológico de la aortitis

Moyano, Jordi Cabero; Magarolas, Marta Andreu; González, Elena; Cistaré, Xavier Gallardo; Castan, Eduardo

doi:10.1016/j.rx.2013.05.003

Cited by 12 publications

(3 citation statements)

References 35 publications

(31 reference statements)

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“…Both cases had blood cultures revealing Salmonella species and consistently high CRP despite targeted antibiotic therapy. One third of infectious aortitis is caused by Salmonella species [3] , but in 15–50% of the cases, blood cultures are negative [2] .…”

Section: Discussionmentioning

confidence: 99%

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Infectious Aortitis: Could Early Radiology Improve Patient Outcome?

Døssing

Mattsson

2018

European Journal of Case Reports in Internal Medicine

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Aortitis is a rare condition and easily overlooked. It is defined as infectious or non-infectious inflammation of the aortic wall. This report describes two cases of aortitis, demonstrating the diagnostic difficulty and how diagnostic delay could have been reduced if early radiology had been performed. Due to the nature of aortitis, patient outcome can be improved considerably by timely diagnosis and treatment.LEARNING POINTSAortitis is rarely suspected due to its vague symptoms, but diagnosis is aided by computed tomography (CT) of the thorax and abdomen.A delay in aortitis diagnosis can be life threatening; however, early radiology can ensure timely diagnosis and considerably improve patient outcome.Aortitis should always be suspected in cases with immunosuppression and systemic Salmonella infection, and a CT of the thorax and abdomen should be performed.

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Section: Discussionmentioning

confidence: 99%

“…Computed tomography (CT) is used to exclude mimicking diseases and can also support the diagnosis of infectious aortitis [1] . Blood cultures are essential in determining bacterial aetiology [3] .…”

Section: Introductionmentioning

confidence: 99%

Infectious Aortitis: Could Early Radiology Improve Patient Outcome?

Døssing

Mattsson

2018

European Journal of Case Reports in Internal Medicine

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“… 4 The prevalence of recognized primary infection of aortic aneurysms has been cited between 0.7% and 2.6%, the most commonly identified causative agent being Salmonella spp . 5 – 7 Certain pathogens, namely Clostridium septicum , have been associated with the presence of infective aortitis, with a concomitant underlying malignancy. Several reports associate Clostridium septicum infective aortitis with colonic malignancy.…”

Section: Discussionmentioning

confidence: 99%

Emphysematous aortitis: report of two cases and CT imaging findings

Noh

Rashid

et al. 2017

BJR|case reports

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Emphysematous aortitis is a rare condition that manifests through the presence of air within or surrounding the inflamed aorta. Aortic inflammation may result from either an infective or a non-infective cause. Recognition of this rare condition is important as the resultant clinical deterioration may be rapid and lead to inevitable death. Cross-sectional imaging, with its relatively wide availability, proves an important tool in the diagnosis and subsequent management of this condition. We report two such cases encountered in our centre, with particular focus on the imaging findings on CT.

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Imaging in Giant Cell Arteritis

Khan

Dasgupta

2015

Curr Rheumatol Rep

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Much progress has been made in the use of imaging as a diagnostic tool in giant cell arteritis (GCA), which assists in the management of patients where the initial diagnosis is unclear. This includes patients with atypical cranial symptoms, or with predominantly systemic, constitutional or limb symptoms. Ultrasound and magnetic resonance imaging are capable of visualising both the cranial and extracranial large vessel circulation, with vessel wall thickening and stenotic lesions being visualised. Computed tomographic angiography is helpful in visualising the aorta for aneurysm complicating GCA but can also detect vessel wall thickening in established large vessel vasculitis. PET-CT is a very sensitive test for early vascular inflammation in extracranial large vessel vasculitis, before aneurysmal or stenotic lesions have developed, of use in the patient with unexplained constitutional symptoms. The place of imaging in the follow-up of GCA is being investigated, and repeated imaging may be useful in select cases. Generally, vascular abnormalities become less defined once glucocorticoid treatment has been started, and therefore, imaging studies must be conducted early as part of a GCA fast-track assessment.

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Patología aórtica no urgente: diagnóstico clínico-radiológico de la aortitis

Cited by 12 publications

References 35 publications

Infectious Aortitis: Could Early Radiology Improve Patient Outcome?

Infectious Aortitis: Could Early Radiology Improve Patient Outcome?

Emphysematous aortitis: report of two cases and CT imaging findings

Imaging in Giant Cell Arteritis

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