Descending Thoracic Aortic Aneurysm due to Brucella melitensis
| Autor: | Arshad Mian, Isamme AlFayyad, Rana AlDosary, Nizar Bakhsh, Saud Alsaleh, Nahar Alanezi, Lina Al-Sharif, Azeem Ahsan, Mohammed AlSheef |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty 030106 microbiology Case Report Brucella 030204 cardiovascular system & hematology Thoracic aortic aneurysm lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine medicine.artery Medicine Endocarditis lcsh:RC109-216 cardiovascular diseases biology business.industry Brucellosis General Medicine Mycotic aneurysm medicine.disease biology.organism_classification Surgery Infective endocarditis Descending aorta cardiovascular system business Brucella melitensis |
| Zdroj: | Case Reports in Infectious Diseases, Vol 2019 (2019) Case Reports in Infectious Diseases |
| ISSN: | 2090-6633 2090-6625 |
| DOI: | 10.1155/2019/4939452 |
| Popis: | Brucellosis is an endemic infection mainly in the Middle East and the Mediterranean region that can involve any system. However, cardiovascular involvement commonly seen as endocarditis is a rare occurrence, but it is one of the main causes of mortality and morbidity. Brucella mycotic aneurysms are extremely rare and carry a higher morbidity and mortality. Here, we present a case of Brucella mycotic aneurysms in the descending aorta complicated by an aortoesophageal fistula in a 52-year-old diabetic man. The diagnosis was made by thoracic CT angiogram showing a saccular aneurysm arising from the descending aorta and two positive cultures of Brucella melitensis. Transthoracic and transesophageal echocardiograms ruled out infective endocarditis. Aortoesophageal fistula complicating a Brucella mycotic aneurysm in the absence of evidence of endocarditis has not yet been reported in the literature. |
| Databáze: | OpenAIRE |
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