False Aneurysm of the Abdominal Aorta Due to Brucella Suis

Bergeron, Patrice; Gonzalès-Fajardo, José; Mangialardi, Nicola; R, Courbier

doi:10.1007/bf02007004

Cited by 21 publications

(16 citation statements)

References 4 publications

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“…Brucella suis, including biotype 2, has been reported with an increasing frequency as the causative agent of human disease (Chastel et al, 1970;Joubert et al, 1970;Golden et al, 1970;Heineman and Dziamski, 1976;Morris et al, 1979;Nadler et al, 1982;Thimm, 1982;Williams and Crossley, 1982;Francart et al, 1983;Teyssou et al, 1989;Bergeron et al, 1992;Robson et al, 1993;Kant et al, 1994;Paton et al, 2001;Kolbabová et al, 2001). We previously found Brucella antibodies in 5.2% of 524 adult women attending outpatient clinics and hospital in the Břeclav district in 1985-1986: one of these aborted, and another gave a premature birth to a baby with congenital malformation (microcephaly); because all other results of examination in these two women were negative, the symptoms might have been related to infection with B. suis biotype 2 (Hubálek et al, 1987).…”

Section: Discussionmentioning

confidence: 99%

Serological survey of the wild boar (Sus scrofa) for tularaemia and brucellosis in South Moravia, Czech Republic

Hubálek¹,

Treml²,

Juricová³

et al. 2002

Vet. Med.

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Sera of 204 wild boars (Sus scrofa), shot by hunters in the South-Moravian district of Břeclav during 1993-2001, were tested by microagglutination reaction using safranin-stained antigens of Francisella tularensis and Brucella abortus: 10.8% and 8.7% seroreactors, respectively, were detected. The highest (17%) prevalence of tularaemia antibodies was found in wild boars during 1993-1994 at the beginning of a widespread outbreak of tularaemia in South Moravia that started in 1994, a nonsignificantly lower (13%) seroprevalence in 1995-1996 during the continuing epizootic, whereas it decreased markedly to 3% in the years 1997-2001 during the disappearance of the epizootic. Brucella sp. antibodies were significantly most frequent (15%) in wild boars in the years 1995-1996. This Brucella seroreactivity has been attributed to B. suis biotype 2 (B. melitensis biovar Suis biotype 2 according to new nomenclature) infection, because B. abortus in both cattle and humans (Bang's disease) was eradicated in the former Czechoslovakia in 1964. The hare brucellosis (B. suis biotype 2) has occurred in the Břeclav district in a number of natural foci revealing an increased activity since 1994.

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Section: Discussionmentioning

confidence: 99%

Serological survey of the wild boar (Sus scrofa) for tularaemia and brucellosis in South Moravia, Czech Republic

Hubálek¹,

Treml²,

Juricová³

et al. 2002

Vet. Med.

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“…However, when additional sites of infection were investigated, they were present in most cases. 25,28,30,38–40,44,50,54 The most common extravascular sites of infection among patients who had endarteritis were bone (87·5%), kidney (12·5%), and testes (12·5%). Despite this high proportion of focal involvement, and the increased risk of relapse with such involvement, 5 few of the published cases (37%) describe an assessment for the possibility of extravascular infection.…”

Section: Case Presentationmentioning

confidence: 99%

Brucella arteritis: clinical manifestations, treatment, and prognosis

Herrick

Lederman

Sullivan

et al. 2014

The Lancet Infectious Diseases

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Brucellosis is the most common bacterial zoonosis, and causes a considerable burden of disease in endemic countries. Cardiovascular involvement is the main cause of mortality due to infection with Brucella spp., and most commonly manifests as endocarditis, peripheral and cerebrovascular aneurysms, or arterial and venous thrombosis. We report a case of brucellosis presenting as bacteremia and aortic endarteritis 18 years after the last known exposure to risk factors for brucella infection. The patient was treated with doxycycline, rifampin, and gentamicin, and underwent surgical repair of a penetrating aortic ulcer, with a good clinical recovery. We review the signs and symptoms, diagnostic approach, prognosis, and treatment of brucella arteritis. We draw attention to the absence of consensus about the optimum therapy for vascular brucellosis, and the urgent need for additional studies and renewed scientific interest in this major pathogen.

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“…Most reported infected aneurysms caused by the Brucella spp have been peripheral arterial aneurysms, which were secondary complications of infective endocarditis. [3][4][5][6][7] Our patient had a primary infected abdominal aortic aneurysm without any evidence of preceding infective endocarditis; the infection was caused by B abortus. To our knowledge, this is the first time that an infected abdominal aortic aneurysm caused by B abortus has been reported in the worldwide medical literature as well as the first case of an infected aneurysm caused by the Brucella spp to be reported in Korea.…”

Section: Discussionmentioning

confidence: 90%

Infected abdominal aortic aneurysm caused by Brucella abortus: A case report

Park

Kim

Kwon

2007

Journal of Vascular Surgery

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This case report describes an infected aneurysm caused by Brucella abortus. To the best of our knowledge, this case represents the first reported occurrence of an infected abdominal aortic aneurysm caused by this pathogen. The clinical findings included mild fever, fatigue, cold sweats, and abdominal pain. The diagnosis was reached by computed tomography scanning. The patient was treated by urgent surgery, which consisted of resection of the aneurysmal sac, prosthetic graft replacement, and omental wrapping. Antibiotics were administrated for 3 months. A bacteriologic specimen was isolated from the blood culture. At 1 year 10 months after surgery, the patient remains in good health.

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False Aneurysm of the Abdominal Aorta Due to Brucella Suis

Cited by 21 publications

References 4 publications

Serological survey of the wild boar (Sus scrofa) for tularaemia and brucellosis in South Moravia, Czech Republic

Serological survey of the wild boar (Sus scrofa) for tularaemia and brucellosis in South Moravia, Czech Republic

Brucella arteritis: clinical manifestations, treatment, and prognosis

Infected abdominal aortic aneurysm caused by Brucella abortus: A case report

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