Descending thoracic aortitis due to Haemophilus influenzae: a case report and literature review

Ranganath, Sangeetha; Stratton, N.; Narasimhan, Aarthi; Midturi, John

doi:10.1007/s15010-013-0413-3

Cited by 6 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, Salmonella traditionally also plays an important role in the region of the abdominal aorta. Reports on numerous other bacteria acting as isolated pathogens have been published, e. g. Listeria, Haemophilus, Bacteroides fragilis and Clostridium septicum [ 21 , 24 , 38 ]. Although Treponema pallidum , the pathogen in classical syphilitic aortitis, has not played a significant role in the clinical routine since the introduction of antibiotics, the number of new cases reported in Germany has been rising since 2010 (4406 cases in 2012).…”

Section: Microbiologymentioning

confidence: 99%

Inflammatory diseases of the aorta

2016

View full text Add to dashboard Cite

Infectious aortitis is a rare but life-threatening disease. Due to impending local and systemic complications, prompt diagnosis and initiation of effective causal treatment are essential for patient survival. Differentiating infectious aortitis from other aortic diseases, in particular non-infectious aortitis, is of great importance. This article discusses the various causes, diagnostic tools, and therapeutic strategies for infectious aortitis.

show abstract

Section: Microbiologymentioning

confidence: 99%

Inflammatory diseases of the aorta

2016

View full text Add to dashboard Cite

show abstract

“…This case report of multiple mycotic aneurysms highlights the usefulness of PoCUS as an invaluable clinical tool that can aid in the diagnosis of life-threatening pathology in the ED [ 12 ]. Other case reports have described the diagnosis of multiple mycotic aneurysms by both ultrasound and CT imaging [ 2 , 13 ]. The present case report is notable in that the patient’s abdominal aortic pathology was first identified on PoCUS in the ED, which significantly changed how she was managed during her hospitalization.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, HIV-related aneurysms have been described as a possible distinct pathology resulting from an inflammatory response within large vessel walls, resulting in weakening of the vessel wall and subsequent aneurysm formation [ 9 ]. Multiple case series describe histopathology of mycotic aneurysms from HIV patients with no evidence of bacterial infection [ 1 , 2 , 13 ]. Conversely, other case reports detailing mycotic aneurysms in similar patients demonstrate numerous organisms, including Treponema spp., Staphylococcus spp., Streptococcus spp., Enterococcus spp., Mycoplasma tuberculosis, Haemophilus influenzae [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Diagnosis of Multiple Mycotic Aneurysms in an HIV-Positive Patient Using Point-of-Care Ultrasound

Sasipattarapong¹,

Johnson²,

Beckerman³

et al. 2022

Cureus

View full text Add to dashboard Cite

We report the case of a transgender woman with HIV (CD4 349), shortness of breath, and chest pain, who was found to have multiple mycotic aortic aneurysms by point-of-care ultrasound (PoCUS). This report highlights the utility of point-of-care ultrasonography in the diagnosis and management of this rare clinical entity. Multiple mycotic aortic aneurysms and purulent pericarditis are uncommon. They have high morbidity and mortality and are associated with immunocompromised states (e.g., HIV). Diagnosis of the mycotic aneurysm, and its precursor, infectious aortitis, can be challenging, and delays in care can lead to poor outcomes. Often, as described in this case report, making the diagnosis requires a high clinical suspicion, multiple imaging modalities, and laboratory studies.

show abstract

“… 9 Case reports have described mycotic abdominal aortic aneurysms and popliteal aneurysms attributed to H. influenzae infection. 10 , 11 , 12 In these reports, the time course of suspected bacterial seeding to symptom onset range from 1 week to a month. There was concern for risk of rapid aneurysmal growth and rupture in these reported cases, resulting in prompt surgical management.…”

Section: Discussionmentioning

confidence: 99%