Aorto-enteric fistula presenting as multicentric osteomyelitis.
A 60-year-old man treated with a prothesis for aorto-enteric fistulae developed multicentric osteomyelitis. Enteric flora were cultured from blood and bone but the diagnosis was delayed. Aorto-enteric fistulae can occur in a variety of circumstances but have become more common with the advent of reconstructive vascular surgery using prostheses. This entity frequently does not present in a dramatic way, but can be the cause of fatal bacteremia and septicemia.
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000175:diagnosis* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003937:Diagnosis, Differential; D005269:Femur / Q000000981:diagnostic imaging; D005402:Fistula / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography