title: Primary aortoduodenal fistula and Q-fever.
abstract: Patients with abdominal aortic aneurysm (AAA) are prone to vascular infection with chronic Q-fever. There is a rising incidence of up to 8% of chronic Q-fever in The Netherlands. Increased vascular aortic aneurysm infection with chronic Q-fever is reported. This report shows two rare cases of primary aortoduodenal fistulae in patients with chronic Q-fever and an AAA. We describe the clinical symptoms, diagnostic tools for detection of Coxiella burnetii infection and treatment.
authors.affiliation: Department of Surgery, Atrium Medical Centre, Heerlen, The Netherlands.
authors.forename: Tim A
authors.initials: TA
authors.lastname: Sigterman
authors.forename: Bianca L W
authors.initials: BL
authors.lastname: Bendermacher
authors.forename: Rob J Th J
authors.initials: RJ
authors.lastname: Welten
authors.forename: Attila
authors.initials: A
authors.lastname: Krasznai
authors.forename: Lee H
authors.initials: LH
authors.lastname: Bouwman
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D016997:Coxiella burnetii / Q000302:isolation & purification; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D015994:Incidence; D008297:Male; D009426:Netherlands; D011778:Q Fever / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D016896:Treatment Outcome
keywords: aorta abdominal aneurysm; chronic Q-fever; primary aortoduodenal fistula