Primary aortoduodenal fistula and chronic Q fever infection

2021 ◽  
Vol 14 (2) ◽  
pp. e238373
Author(s):  
Cuong Nghi Do ◽  
Ethan Oskar Mar ◽  
Beatrice Sim ◽  
David Looke
Keyword(s):  
Risk Factors ◽  
Abdominal Aortic Aneurysm ◽  
Q Fever ◽  
Case Reports ◽  
Successful Outcome ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Chronic Q Fever ◽  
Definitive Surgery ◽  
Animal Reservoirs

We report a case of chronic Q fever presenting with catastrophic bleeding from an infected abdominal aortic aneurysm causing a primary aortoduodenal fistula in an 80-year-old retired farmer. This presentation is rarely reported in literature and only through case reports. Early diagnosis and definitive surgery were critical to a successful outcome. Serological diagnosis of Q fever was initiated on the patient’s past exposure to animal reservoirs. Complicating the case was ongoing gastrointestinal bleeding postsurgery, with multiple endoscopies undertaken before a culprit remnant fistula was found. This case highlights the value in considering Coxiella burnetii as an underlying cause in patients with known risk factors presenting with primary aortoduodenal fistulas. Though rare, it represents a readily treatable cause.

A Case of Primary Aortoduodenal Fistula and Abdominal Aortic Aneurysm in a Patient with Chronic Q-fever

Aorta ◽  
2017 ◽  
Vol 5 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Arne de Niet ◽  
Ignace F.J. Tielliu ◽  
Paul M. van Schaik ◽  
Jan J.A.M. van den Dungen ◽  
Clark J. Zeebregts
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Q Fever ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Chronic Q Fever

scholarly journals A Case of Primary Aortoduodenal Fistula and Abdominal Aortic Aneurysm in a Patient with Chronic Q Fever

Aorta ◽  
2017 ◽  
Vol 05 (01) ◽  
pp. 27-29
Author(s):  
Arne de Niet ◽  
Ignace Tielliu ◽  
Paul van Schaik ◽  
Jan van den Dungen ◽  
Clark Zeebregts
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Medical Treatment ◽  
Causative Agent ◽  
Q Fever ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Chronic Q Fever ◽  
History Of

AbstractA 70-year-old man was successfully treated for an aortoduodenal fistula originating from a Q fever-related abdominal aortic aneurysm. He had no known history of contact with cattle or sheep. Although the combination of abdominal aortic aneurysm and aortoduodenal fistula is rare, one should be suspicious of Q fever infection as the causative agent, and additional medical treatment should be initiated.

scholarly journals Chronic Q-Fever (Coxiella burnetii) Causing Abdominal Aortic Aneurysm and Lumbar Osteomyelitis: A Case Report

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
P. Alexander Leahey ◽  
Steven R. Tahan ◽  
Ekkehard M. Kasper ◽  
Mary Albrecht
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Coxiella Burnetii ◽  
Q Fever ◽  
Prolonged Treatment ◽  
Chain Reaction ◽  
Abdominal Aortic ◽  
Chronic Q Fever ◽  
Polymerase Chain ◽  
Ig G

Abstract Coxiella burnetii is a rare cause of chronic infection that most frequently presents as endocarditis. We report a case of C burnetii causing an infected abdominal aortic aneurysm with contiguous lumbar osteomyelitis resulting in spinal cord compromise. The diagnosis was established by serologic studies consistent with chronic Q-fever (ratio of C burnetii immunoglobulin [Ig]G phase II titer to IgG phase I titer <1) and was confirmed by positive C burnetii polymerase chain reaction of vertebral tissue in addition to pathology of vertebral bone showing intracellular Gram-negative coccobacillary bacteria. The patient clinically improved after surgical decompression and prolonged treatment with doxycycline and hydroxychloroquine.

scholarly journals Aortoduodenal fistula and associated rupture of abdominal aortic aneurysm after endoluminal stent graft repair

2003 ◽  
Vol 37 (2) ◽  
pp. 465-468 ◽  
Author(s):  
Suresh Alankar ◽  
Merle H. Barth ◽  
David D. Shin ◽  
Janice R. Hong ◽  
Wade R. Rosenberg
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Stent Graft Repair ◽  
Endoluminal Stent

scholarly journals Abdominal aortic aneurysm expansion: Risk factors and time intervals for surveillance

2004 ◽  
Vol 13 (10) ◽  
pp. 44-45 ◽  
Author(s):  
A.R. Brady ◽  
S.G. Thompson ◽  
F.G.R. Fowkes ◽  
R.M. Greenhalgh ◽  
J.T. Powell
Keyword(s):  
Risk Factors ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Time Intervals ◽  
Abdominal Aortic

scholarly journals A Case of Aortoduodenal Fistula Presenting Six Years after an Operation for Abdominal Aortic Aneurysm

2006 ◽  
Vol 35 (4) ◽  
pp. 239-241
Author(s):  
Yasuhiro Sawada ◽  
Hitoshi Kusagawa ◽  
Kouji Onoda ◽  
Takatsugu Shimono ◽  
Hideto Shinpo
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic

Abstract 032: Associations between Middle-age Risk Factors and Future Risk of Abdominal Aortic Aneurysm: The Atherosclerosis Risk in Communities (ARIC) Study

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Weihong Tang ◽  
Alvaro Alonso ◽  
Pamela L Lutsey ◽  
Frank A Lederle ◽  
Lu Yao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Middle Age ◽  
Disease Risk ◽  
Atherosclerotic Disease ◽  
Cross Sectional ◽  
Abdominal Aortic ◽  
Aric Study

Introduction: Abdominal aortic aneurysm (AAA) is an important manifestation of vascular disease in older age and rupture of an AAA is a life threatening condition. Traditional atherosclerotic disease risk factors, particularly male sex, smoking and hypertension, are known to contribute to the etiology of AAA. However, epidemiologic studies of AAA have often been cross-sectional, and few have employed a prospective cohort design, especially with long follow-up. The objective of this study was to prospectively assess the association between atherosclerotic disease risk factors and hospitalized AAA in 15,722 participants (68% whites) of the ARIC study, a large, community-based cohort. Methods: Risk factors were measured at baseline at 45-64 year of age. Clinical AAAs were ascertained through hospital discharge diagnoses or death certificates. Over 15 years of follow-up, a total of 265 AAAs (85.3% whites) were identified, including repair procedures, AAA rupture or dissection, and incidental detection. Multivariable Cox proportional hazard models were used to estimate the association of risk factors with the risk of future AAA. Results: Consistent with the literature from prospective studies, we identified age, male gender, white race, smoking, height, total and HDL cholesterols, triglycerides, white blood cell count, and hypertension as risk factors for AAA (Table). In addition, LDL-C, fibrinogen, and peripheral artery disease that were previously reported only in cross-sectional case-control studies were also strongly associated with AAA (Table). Body mass index, diabetes, and alcohol consumption were not associated with AAA occurrence. Conclusions: Several lifestyle and clinical variables measured in middle-age were strong risk factors for future AAA during a long follow-up.

Sign in / Sign up

Export Citation Format

Share Document