[Infrarenal aortic pseudo-aneurism due to Coxiella burnetii].
Peripheral vascular expressions of Coxiella burnetti Q fever are not well known. Endocarditis with negative blood culture is the most frequent clinical presentation of chronic Q fever. To date, very few cases of aneurisms or vascular grafts infections have been described. We report the case of a 54-year-old man who presented an infrarenal abdominal aorta infection, leading to a giant pseudo aneurismal formation. Blood serology and polymerase chain reaction amplification identified C. burnetti from the aortic thrombus after pseudo aneurism surgery. The treatment associated infrarenal abdominal aorta repair using a cryopreserved aorta allograft, and long-term antibiotic therapy.
Paumier
A
A
Service de chirurgie cardiovasculaire et thoracique, centre hospitalier universitaire, 4, rue Larrey, 49033 Angers cedex 01, France.
Penard
J
J
Maugin
E
E
Enon
B
B
Picquet
J
J
D017541:Aneurysm, False / Q000175:diagnosis*; D000907:Antibodies, Bacterial / Q000097:blood; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D016997:Coxiella burnetii / Q000235:genetics / Q000276:immunology; D004269:DNA, Bacterial / Q000032:analysis; D006801:Humans; D007668:Kidney; D008297:Male; D008875:Middle Aged; D011778:Q Fever / Q000175:diagnosis* / Q000188:drug therapy
D000907:Antibodies, Bacterial; D004269:DNA, Bacterial