Coxiella burnetii infection of an aortic graft with multiple vertebral body erosion.
Q fever is caused by Coxiella burnetii and often has an insidious clinical presentation. We describe a rare case of Q fever infection of an aortic graft presenting with pyrexia and constant severe midlumbar pain due to erosion of multiple vertebral bodies. After successful treatment with graft resection and extra-anatomic vascular reconstruction, the patient continues on lifelong antibiotic therapy. We also present regional Q fever epidemiologic data together with a review of all previously documented cases of Q fever infections of vascular prostheses.
O'Donnell
Mark Edward
ME
Vascular and Endovascular Unit, Belfast City Hospital, Northern Ireland, United Kingdom. modonnell904@hotmail.com
Manshani
Novin
N
McCaughey
Conall
C
Soong
Chee
C
Lee
Bernard
B
D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000209:etiology / Q000382:microbiology; D000785:Aneurysm, Infected / Q000209:etiology / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D016997:Coxiella burnetii / Q000302:isolation & purification*; D020878:Device Removal; D005260:Female; D005263:Femoral Artery / Q000382:microbiology; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D011778:Q Fever / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D013122:Spinal Diseases / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents