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Case Reports
Journal Article
Endovascular treatment of Brucella-infected abdominal aortic aneurysm: A case report.
Medicine (Baltimore) 2017 October
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.
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.
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