title: Yersinia pseudotuberculosis aortitis in a patient with diverticulosis and polycystic kidney disease.
abstract: An 81-year-old gentleman with chronic kidney disease presented with pyrexia and a new systolic cardiac murmur. Investigations revealed infective aortitis of a pre-existing aortic aneurysm graft repair. Peripheral blood cultures were positive for Yersinia pseudotuberculosis and the patient was successfully treated with an extended course of antibiotics. Abdominal imaging also revealed progressive bilateral polycystic kidney disease with associated diverticular disease, which was postulated as the source of the Y. pseudotuberculosis. An autosomal dominant polycystic kidney disease may present late in life and extra-renal manifestations of this disease are an important cause of morbidity.
authors.affiliation: Renal Unit , Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: McCloskey
authors.affiliation: Departmarnt of Radiology , Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK.
authors.forename: Philip
authors.initials: P
authors.lastname: Haslam
authors.affiliation: Department of Infectious Disease, Royal Victoria Infirmary , Newcastle upon Tyne Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK.
authors.forename: David A
authors.initials: DA
authors.lastname: Price
authors.affiliation: Renal Unit , Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK ; Institute of Genetic Medicine , Newcastle University , Newcastle upon Tyne , UK.
authors.forename: John A
authors.initials: JA
authors.lastname: Sayer