Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograft
Background: Q fever is a zoonotic disease produced by infection with Coxiella burnetii which can cause cardiovascular complications such as endocarditis, aneurysms, and vascular graft infections but is uncommon in the absence of exposure to animal reservoirs. Case summary: We present a case of a 64-...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687823000454 |
| _version_ | 1797788354961473536 |
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| author | Antonio Solano Melissa R. Keller Alejandro Pizano M. Shadman Baig Michael Siah Vivek Prakash Khalil Chamseddin Melissa L. Kirkwood Michael Shih |
| author_facet | Antonio Solano Melissa R. Keller Alejandro Pizano M. Shadman Baig Michael Siah Vivek Prakash Khalil Chamseddin Melissa L. Kirkwood Michael Shih |
| author_sort | Antonio Solano |
| collection | DOAJ |
| description | Background: Q fever is a zoonotic disease produced by infection with Coxiella burnetii which can cause cardiovascular complications such as endocarditis, aneurysms, and vascular graft infections but is uncommon in the absence of exposure to animal reservoirs. Case summary: We present a case of a 64-year-old patient with chronic Q fever infection of an aortic endograft resulting in aorto-enteric fistula. Exposure history reported a recent travel to Mexico and no contact with animals during the stay. Vascular endograft explant was performed and intraoperative findings revealed an abscess cavity along the right anterior abdominal aorta and an aorto-enteric fistula. Extended course doxycycline and hydroxychloroquine were initiated. Due to the diagnostic challenge, we focused on preventing sepsis progression and exposure mitigation to the surgical team. Conclusion: We highlight the atypical presentation of a Q fever aneurysm, outcomes and possible delayed sequelae. A timely diagnosis and high clinical suspicion are paramount to reduce morbidity rate. |
| first_indexed | 2024-03-13T01:35:23Z |
| format | Article |
| id | doaj.art-e266253647f1439ea558e6ece78509ba |
| institution | Directory Open Access Journal |
| issn | 2772-6878 |
| language | English |
| last_indexed | 2024-03-13T01:35:23Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj.art-e266253647f1439ea558e6ece78509ba2023-07-04T05:12:12ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782023-06-0132100203Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograftAntonio Solano0Melissa R. Keller1Alejandro Pizano2M. Shadman Baig3Michael Siah4Vivek Prakash5Khalil Chamseddin6Melissa L. Kirkwood7Michael Shih8Corresponding author at: UT Southwestern Medical Center, Professional Office Building 1, Ste. 620, 5959 Harry Hines Blvd, Dallas, TX 75390-9157.; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USADivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, POB I, Ste. 620, 75390 Dallas, TX, USABackground: Q fever is a zoonotic disease produced by infection with Coxiella burnetii which can cause cardiovascular complications such as endocarditis, aneurysms, and vascular graft infections but is uncommon in the absence of exposure to animal reservoirs. Case summary: We present a case of a 64-year-old patient with chronic Q fever infection of an aortic endograft resulting in aorto-enteric fistula. Exposure history reported a recent travel to Mexico and no contact with animals during the stay. Vascular endograft explant was performed and intraoperative findings revealed an abscess cavity along the right anterior abdominal aorta and an aorto-enteric fistula. Extended course doxycycline and hydroxychloroquine were initiated. Due to the diagnostic challenge, we focused on preventing sepsis progression and exposure mitigation to the surgical team. Conclusion: We highlight the atypical presentation of a Q fever aneurysm, outcomes and possible delayed sequelae. A timely diagnosis and high clinical suspicion are paramount to reduce morbidity rate.http://www.sciencedirect.com/science/article/pii/S2772687823000454Coxiella burnetiiQ feverVascular graftEndovascular aortic repairAortic aneurysm |
| spellingShingle | Antonio Solano Melissa R. Keller Alejandro Pizano M. Shadman Baig Michael Siah Vivek Prakash Khalil Chamseddin Melissa L. Kirkwood Michael Shih Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograft Annals of Vascular Surgery - Brief Reports and Innovations Coxiella burnetii Q fever Vascular graft Endovascular aortic repair Aortic aneurysm |
| title | Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograft |
| title_full | Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograft |
| title_fullStr | Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograft |
| title_full_unstemmed | Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograft |
| title_short | Q Fever infection after endovascular aortic bi-iliac aneurysm repair with endograft |
| title_sort | q fever infection after endovascular aortic bi iliac aneurysm repair with endograft |
| topic | Coxiella burnetii Q fever Vascular graft Endovascular aortic repair Aortic aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2772687823000454 |
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