Open AccessEndovascular treatment of Brucella-infected abdominal aortic aneurysm
Author(s) -
Tao Zhang,
Donghua Ji,
Rui Wang
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000007666
Subject(s) - medicine , brucella , abdominal aortic aneurysm , aneurysm , surgery , radiology , aortic aneurysm , abdominal pain , computed tomography angiography , endovascular aneurysm repair , blood culture , abdominal surgery , angiography , antibiotics , brucellosis , virology , microbiology and biotechnology , biology
Rationale: In very rare cases, a primary infected abdominal aortic aneurysm (IAAA) is caused by a species of Brucella . In this report, we report such a case that was successfully treated with a novel approach. To the best of our knowledge, this was the first case occurring in China, in which an infection of the abdominal aortic aneurysm was caused by a Brucella species. Patient concerns: The clinical findings included high fever, fatigue, and abdominal pain. Diagnoses: The diagnosis was confirmed by computed tomography angiography and by bacteriologic isolation from the patient's blood culture. Interventions: The patient was given endovascular aneurysm repair (EVAR) and Brucella -sensitive antibiotics for 6 weeks. Outcomes: During the 10-month follow-up, the patient's clinical course remained uneventful. Lessons: Our case study supports the premise that endovascular aneurysm repair is an appropriate alternative strategy to treat an infected abdominal aortic aneurysm. Compared with conventional surgical treatment, EVAR with long-term oral antibiotics is a simpler, less traumatic, and more efficient procedure. However, this needs to be further evaluated through long-term follow-up.