title: Escherichia coli primary aortitis presenting as sequelae of incompletely treated urinary tract infection.
abstract: We report a rare case of nonaneurysmal infectious aortitis (IA) with the causative microorganism being Escherichia coli. The patient was a 78-year-old man who presented with a 3-week history of abdominal pain, fevers, and anorexia after treatment for a urinary tract infection. The patient had positive blood cultures and a computed tomography scan that had signs of IA. He was treated with intravenous antibiotics and extra-anatomic revascularization with excision and debridement of the infected aortic segment with a good outcome. IA is an uncommon condition with a high mortality rate; however, if diagnosed early, it can be successfully treated.
authors.affiliation: Department of Surgery, Warren Alpert School of Medicine Brown University, Rhode Island Hospital, Providence, RI 02903, USA. jillkjohnstone@yahoo.com
authors.forename: Jill Kathleen
authors.initials: JK
authors.lastname: Johnstone
authors.forename: Manuel
authors.initials: M
authors.lastname: Garcia-Toca
authors.forename: Jeffery M
authors.initials: JM
authors.lastname: Slaiby
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Marcaccio
authors.forename: Tze Tec
authors.initials: TT
authors.lastname: Chong
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001025:Aortitis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D003646:Debridement; D004926:Escherichia coli / Q000302:isolation & purification*; D004927:Escherichia coli Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014552:Urinary Tract Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents