Primary Aortoduodenal Fistula and Q Fever: An Underrecognized Association?

Mejía, Alejandro; Toursarkissian, Boulos; Hagino, Ryan T.; Myers, John G.; Sykes, Mellick T.

doi:10.1007/s100169910046

Cited by 19 publications

(21 citation statements)

References 11 publications

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“…Chronic Q-fever will manifest as endocarditis or vascular infection (9%). 4,5 Acute infection results in antibodies to phase II antigens, followed by phase I antibodies. Persisting high levels of antibodies to phase I and phase II antigens are considered indicative for chronic Q-fever.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 PADF is a communication between the lumen of the aorta and duodenum. 6 A primary fistula occurs in native aorta without prior vascular intervention, with the incidence ranging from 0.04% to 0.07%.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] Owing to a rising incidence of chronic Q-fever, caused by a large outbreak in 2007 in The Netherlands, growing numbers of aortic aneurysms infected with chronic Q-fever have been reported. We describe two cases of primary aortoduodenal fistula (PADF) in combination with chronic Q-fever.…”

Section: Introductionmentioning

confidence: 99%

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Primary aortoduodenal fistula and Q-fever

et al. 2013

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Patients with abdominal aortic aneurysm (AAA) are prone to vascular infection with chronic Q-fever. There is a rising incidence of up to 8% of chronic Q-fever in The Netherlands. Increased vascular aortic aneurysm infection with chronic Q-fever is reported. This report shows two rare cases of primary aortoduodenal fistulae in patients with chronic Q-fever and an AAA. We describe the clinical symptoms, diagnostic tools for detection of Coxiella burnetii infection and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Primary aortoduodenal fistula and Q-fever

et al. 2013

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“…IV) and on retrospective studies of isolated cases or on uncommon clinical manifestations (meningitis and neurological manifestations [14,29,84,111,119,120,137,146], myocarditis [45,106,108], lymphadenitis [6,161], bone marrow granulomatosis [24,128] and pancreatitis [154]) has been growing since 1999. However this increase may only reflect a higher awareness of the disease rather than really its emergence.…”

Section: Emerging/re-emerging Aspectmentioning

confidence: 99%

Is Q Fever an emerging or re-emerging zoonosis?

2005

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-Q fever is a zoonotic disease considered as emerging or re-emerging in many countries. It is caused by Coxiella burnetii, a bacterium developing spore-like forms that are highly resistant to the environment. The most common animal reservoirs are livestock and the main source of infection is by inhalation of contaminated aerosols. Although the culture process for Coxiella is laborious, advances on the knowledge of the life cycle of the bacterium have been made. New tools have been developed to (i) improve the diagnosis of Q fever in humans and animals, and especially animal shedders, (ii) perform epidemiological studies, and (iii) prevent the disease through the use of vaccines. This review summarizes the state of the knowledge on the bacteriology and clinical manifestations of Q fever as well as its diagnosis, epidemiology, treatment and prevention in order to understand what factors are responsible for its emergence or re-emergence. Coxiella burnetii / epidemiology / bacteriology / diagnostic / control

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“…C. burnetii, also known as Q fever, is transmitted from cattle and sheep to humans by aerosolized particles from urine, feces, or amniotic fluid of contaminated animals [1]. Q fever can present in various manners.…”

Section: Introductionmentioning

confidence: 99%

A Case of Primary Aortoduodenal Fistula and Abdominal Aortic Aneurysm in a Patient with Chronic Q-fever

Niet¹,

Tielliu²,

Schaik³

et al. 2017

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A 70-year-old man was successfully treated for an aortoduodenal fistula originating from a Q fever-related abdominal aortic aneurysm. He had no known history of contact with cattle or sheep. Although the combination of abdominal aortic aneurysm and aortoduodenal fistula is rare, one should be suspicious of Q fever infection as the causative agent, and additional medical treatment should be initiated.

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Primary Aortoduodenal Fistula and Q Fever: An Underrecognized Association?

Cited by 19 publications

References 11 publications

Primary aortoduodenal fistula and Q-fever

Primary aortoduodenal fistula and Q-fever

Is Q Fever an emerging or re-emerging zoonosis?

A Case of Primary Aortoduodenal Fistula and Abdominal Aortic Aneurysm in a Patient with Chronic Q-fever

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