Q fever (Coxiella burnetii) causing an infected thoracoabdominal aortic aneurysm

J Vasc Surg. 2011 May;53(5):1402-4. doi: 10.1016/j.jvs.2010.11.102. Epub 2011 Jan 26.

Abstract

We report a patient, which we believe is the first, with a thoracoabdominal aortic aneurysm, Crawford type IV, caused by Q fever (Coxiella burnetii). Treatment consisted of antibiotic therapy started preoperatively and continued postoperatively and an open repair, including resection of the infected aneurysm, replacement with a rifampin-soaked polyester graft, and an omental wrap covering the grafts. After 13 months of follow-up, the patient had no signs of infection, and results of laboratory findings were normal.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Infected / diagnostic imaging
  • Aneurysm, Infected / microbiology*
  • Aneurysm, Infected / surgery
  • Anti-Bacterial Agents / administration & dosage
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / microbiology*
  • Aortic Aneurysm, Thoracic / surgery
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Coated Materials, Biocompatible
  • Coxiella burnetii / genetics
  • Coxiella burnetii / pathogenicity*
  • DNA, Bacterial / isolation & purification
  • Humans
  • Male
  • Middle Aged
  • Omentum / surgery
  • Polyesters
  • Prosthesis Design
  • Q Fever / complications
  • Q Fever / drug therapy
  • Q Fever / microbiology*
  • Rifampin / administration & dosage
  • Surgical Flaps
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Coated Materials, Biocompatible
  • DNA, Bacterial
  • Polyesters
  • Rifampin