Nonaneurysmal Infectious Aortitis

Cho, Seong-Joon; Park, Sung Min; Ryu, Se-Min; Jin, Eun‐Sun; Lee, Kanghoon

doi:10.1016/j.avsg.2013.09.012

Cited by 14 publications

(18 citation statements)

References 20 publications

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“…It may reveal a perivascular focus of infection. Gas in the aortic wall is an almost certain sign of infection even before aortic dilatation begins [7]. Periaortic lymph nodes may be found to be enlarged.…”

Section: Diseases Infectious Aortitismentioning

confidence: 98%

Inflammatory diseases of the aorta

Caspary

2016

Vasa

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Summary:Infl ammatory aortic diseases may occur with and without dilatation and are complicated by obstruction, rupture and dissection. Infections originate from periaortic foci or septicaemia and tend to result in the rapid development of aneurysms. Large vessel vasculitis due to Takayasu arteritis in younger and giant cell arteritis (GCA) in older patients is located in all layers of the aortic wall and prevails in the thoracic section. GCA patients are prone to developing aortic complications in the late course of disease. In Behçet's disease, aneurysms may have an unusual morphology and localisation. The diagnosis of aortitis is usually obtained by vascular imaging, but partly made only by biopsy on occasion of an operation, especially in case of isolated aortitis of the ascending aorta which mostly remains inapparent until dissection or large aneurysms have developed. Periaortitis typically occurs in the abdominal aorta and may lead to infl ammatory aortic aneurysm (IAA). It is looked upon as a special form of vasculitis, with an overlap to primary retroperitoneal fi brosis (RF). An identical pathology is discussed for the three diseases. On the other hand, about 50 % of isolated aortitides and periaortitides as well as retroperitoneal fi broses can be classed among IgG4-related diseases. Periaortitis also is observed after treatment of aortic aneurysms by stent-graft implantation. Special attention should be paid to ureteral obstruction along with RF or IAA. Once infection is ruled out, immunosuppression is applied to all forms of infl ammatory aortic diseases, primarily with glucocorticoids. However, after successful surgery for isolated thoracic aortitis or infl ammatory aortic aneurysm immunosuppression may be dispensable and it is not required if periaortic tissue enlargement persists in chronic inactive disease. For some patients with periaortitis and RF, tamoxifen may be a valuable alternative.

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Section: Diseases Infectious Aortitismentioning

confidence: 98%

Inflammatory diseases of the aorta

Caspary

2016

Vasa

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“…Infectious processes can occur from bacteremic seeding, direct bacterial infection from trauma, a local infective focus such as paravertebral abscess, spondylodiscitis, or lymph node, aortoenteric fistula, and septic embolization from endocarditis [3] . Infectious aortitis is more commonly complicated with aneurysms, being rare nonaneurysmal infections [4] . We present a case where a febrile patient was first diagnosed with retroperitoneal fibrosis and Staphylococcus aureus bacteremia, suffering aortic rupture that was ultimately fatal.…”

Section: Introductionmentioning

confidence: 99%

Staphylococcus aureus aortitis and retroperitoneal fibrosis: A case report and literature review

Yagüe

Temprano

Losa

et al. 2016

IDCases

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“…Infectious aortitis usually affects patients with atherosclerotic changes of the vascular wall. It is more frequent in elderly and in men, probably because of higher rates of aortic plaques and/or aneurysms causing secondary infection of the aortic wall in these groups [1] , [6] . The patient in this case had significantly atherosclerotic changes of the abdominal aortic wall, without aneurysmal development ( Fig.…”

Section: Discussionmentioning

confidence: 99%

“…The most common reported pathogens in aortitis are Salmonella species and Staphylococcus aureus [6] . Other possible pathogens are listed in Table 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Antibiotics must be effective against the causative infectious agent and its antibiotic sensitivity pattern. When cultures are non conclusive (yet), the therapy should at least cover all common pathogens known to cause aortitis, like S. aureus and gram-negative rods, like Salmonella [6] , [8] . The optimal duration of antibiotic therapy is still unknown and also depends on other factors such as presence of prostheses in the aortic wall.…”

Section: Discussionmentioning

confidence: 99%

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Prevotella intermedia infection causing acute and complicated aortitis—A case report

Boersma

Kampschreur

Buter

et al. 2017

International Journal of Surgery Case Reports

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HighlightsPrevotella intermedia is a rare causative agent for aortitis and has, to the best knowledge of the authors, not been described in the literature before.Patients with a suspected aortitis should be referred to a vascular center with experience in the medical and surgical treatment of this specific and potentially mortal disease.Acute aortitis is a challenging clinical entity, which should be managed with a multidisciplinary team.

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Nonaneurysmal Infectious Aortitis

Cited by 14 publications

References 20 publications

Inflammatory diseases of the aorta

Inflammatory diseases of the aorta

Staphylococcus aureus aortitis and retroperitoneal fibrosis: A case report and literature review

Prevotella intermedia infection causing acute and complicated aortitis—A case report

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