title: Q fever (Coxiella burnetii) causing an infected thoracoabdominal aortic aneurysm.
abstract: We report a patient, which we believe is the first, with a thoracoabdominal aortic aneurysm, Crawford type IV, caused by Q fever (Coxiella burnetii). Treatment consisted of antibiotic therapy started preoperatively and continued postoperatively and an open repair, including resection of the infected aneurysm, replacement with a rifampin-soaked polyester graft, and an omental wrap covering the grafts. After 13 months of follow-up, the patient had no signs of infection, and results of laboratory findings were normal.
authors.affiliation: Department of Vascular Surgery, Medical University Centre Maastricht, Maastricht, The Netherlands.
authors.forename: Bianca L W
authors.initials: BL
authors.lastname: Bendermacher
authors.forename: Arnoud G
authors.initials: AG
authors.lastname: Peppelenbosch
authors.forename: Jan Willem H C
authors.initials: JW
authors.lastname: Daemen
authors.forename: Astrid M L
authors.initials: AM
authors.lastname: Oude Lashof
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Jacobs
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D020099:Coated Materials, Biocompatible; D016997:Coxiella burnetii / Q000235:genetics / Q000472:pathogenicity*; D004269:DNA, Bacterial / Q000302:isolation & purification; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D011091:Polyesters; D011474:Prosthesis Design; D011778:Q Fever / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D012293:Rifampin / Q000008:administration & dosage; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D020099:Coated Materials, Biocompatible; D004269:DNA, Bacterial; D011091:Polyesters; D012293:Rifampin