title: Treatment of an Abdominal Aortic Aneurysm Infected by Coxiella Burnetii Using a Cryopreserved Allograft.
abstract: Q fever is a worldwide zoonosis caused by an intracellular bacillus named Coxiella burnetii (CB) and is a rare cause of vascular infections. We report a case of abdominal aortic aneurysm infected by CB with bilateral paravertebral abscesses and contiguous spondylodiscitis treated by open repair using a cryopreserved allograft and long-term antibiotic therapy by oral doxycycline and oral hydroxychloroquine for a duration of 18 months. Twenty months after the operation, the patient had no infections signs and vascular complication.
authors.affiliation: Department of Vascular Surgery, Henri Mondor University Hospital, Créteil, France. Electronic address: jeremiejayet@gmail.com.
authors.forename: Jérémie
authors.initials: J
authors.lastname: Jayet
authors.affiliation: Department of Vascular Surgery, Henri Mondor University Hospital, Créteil, France.
authors.forename: Maxime
authors.initials: M
authors.lastname: Raux
authors.affiliation: Department of Vascular Surgery, Henri Mondor University Hospital, Créteil, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Allaire
authors.affiliation: Department of Vascular Surgery, Henri Mondor University Hospital, Créteil, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Desgranges
authors.affiliation: Department of Vascular Surgery, Henri Mondor University Hospital, Créteil, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Cochennec
mesh_terms: D000284:Administration, Oral; D000369:Aged, 80 and over; D064591:Allografts; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery* / Q000635:transmission; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D016997:Coxiella burnetii / Q000302:isolation & purification*; D015925:Cryopreservation; D004318:Doxycycline / Q000008:administration & dosage; D004334:Drug Administration Schedule; D006801:Humans; D006886:Hydroxychloroquine / Q000008:administration & dosage; D008279:Magnetic Resonance Imaging; D008297:Male; D011778:Q Fever / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery* / Q000635:transmission; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D006886:Hydroxychloroquine; D004318:Doxycycline