Primary aortoduodenal fistula and Q fever: an underrecognized association?
We report a rare case of primary aortoduodenal fistula (ADF) secondary to a Coxiella burnetii (Q fever) infection in a patient with an abdominal aortic aneurysm. A review of the available literature on the vascular complications of Q fever is presented. Q fever should be suspected in vascular patients with close animal contact when a standard infectious work-up is unrevealing. Diagnostic steps and management strategies for primary ADF are also briefly reviewed.
Mejia
A
A
Department of Surgery, University of Texas Health Science Center at San Antonio, 78229, USA.
Toursarkissian
B
B
Hagino
R T
RT
Myers
J G
JG
Sykes
M T
MT
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000209:etiology*; D004378:Duodenal Diseases / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D011778:Q Fever / Q000150:complications*; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000209:etiology*