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

Yagüe, M. Delgado; Temprano, Ignacio; Losa, Juan Emilio; Benito, Luis de; Cruz, R. de la; Cheyne, N; Henríquez, César

doi:10.1016/j.idcr.2016.07.010

Cited by 5 publications

(10 citation statements)

References 10 publications

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“…In previous publications, SA aortitis has been reported 2 5. Our observation adds to this pool of diagnosis and treatment of the SA aortitis, highlighting the importance of early diagnosis and surgical management.…”

Section: Discussionsupporting

confidence: 55%

“…Yague et al reported a case of MSSA aortitis concurrently with retroperitoneal fibrosis and persistent bacteraemia. The disease was unresponsive to antimicrobial therapy alone and eventually led to aortic rupture and death 2…”

Section: Discussionmentioning

confidence: 99%

“…Aortitis is closely associated with inflammatory changes in aortic wall, caused by both infectious and non-infectious aetiologies. Non-infectious causes include necrotising aortitis with giant cells and diffuse aortitis associated with an increased risk of systemic inflammatory disease,1 while infectious sources can stem from bacterial seeding from trauma or other sites of infections 2. Organisms associated with infectious aortitis include Staphylococcus, Enterococcus, Streptococcus and Salmonella 3.…”

Section: Introductionmentioning

confidence: 99%

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Case of ruptured Staphylococcus aureusaortitis: presentation and management

Wang

Tageldin

Hand³

2018

BMJ Case Rep

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Infectious aortitis with the complication of aortic aneurysm carries a high mortality rate without appropriate interventions, mostly due to aortic rupture. For this reason, early and prompt diagnoses along with surgical and medical managements play critical roles. Aortic infection with Staphylococcus aureus (SA) is uncommon, but reported cases have been usually associated with fatal complication from rapid progression into rupture. We report a 65-year-old man who developed methicillin-sensitive SA aortitis and then aortic rupture. Patient was successfully treated with staged vascular repair and long-term antibiotic use.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Case of ruptured Staphylococcus aureusaortitis: presentation and management

Wang

Tageldin

Hand³

2018

BMJ Case Rep

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“…These data stem from a series of 29 patients with IA, the largest before the year 2000. [1] Since then, numerous isolated case-reports or small series have been published and the reported germs are similar to what was described before 2000: 30 cases of S aureus ,[ 4 5 6 7 8 9 10 11 12 13 14 15 ] 72 Salmonella spp. ,[ 4 5 16 17 18 7 9 19 20 21 22 23 24 25 ] 16 Streptococcus spp.…”

Section: Introductionsupporting

confidence: 53%

A strobe multicenter descriptive study of 55 infectious aortitis

et al. 2020

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“…Consequently, the cumulative effect size for aortic dissection alone was pooled from two studies and the statistical heterogeneity was moderate (I2 = 75%). Fourth, the possible role of infectious pathogens in the development aortic structural abnormalities including aortic aneurysm and aortic aneurysm rupture has been reported in the literature, especially with Borrelia burgdorferi sensu lato, Salmonella and Staphylococcus species [30][31][32][33]. Consequently, an underlying infection in the fluoroquinolone-exposed group may be a confounding factor.…”

Section: Study Strength and Limitationsmentioning

confidence: 99%

Fluoroquinolones and the Risk of Aortic Aneurysm or Aortic Dissection: A Systematic Review and Meta-Analysis

Rawla

Helou

Vellipuram

2019

CHAMC

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Objective: We performed a systematic review and meta-analysis to explore the risk of an aortic aneurysm or aortic dissection following fluoroquinolone administration. Methods: PubMed, Cochrane library, ClinicalTrials.gov, Embase and Google Scholar were systematically reviewed for controlled studies including adult patients exposed to fluoroquinolones with a primary outcome of aortic aneurysm or aortic dissection. Results: The meta-analysis was conducted by pooling the effect estimates of four controlled observational studies (one case-control, one case-crossover and two cohort studies). Fluoroquinolone administration more than doubled the risk to develop aortic aneurysm or aortic dissection within 60 days following fluoroquinolone exposure (adjusted Relative Risk [RR] (95% confidence interval [CI]) = 2.14 (1.93 - 2.36); I2 = 15.8%). The quality of the finding was rated as moderate. : The risk increase for aortic aneurysm alone was found to be significant (adjusted RR (95% CI) = 2.23 (2.01 - 2.45); I2 = 0%) while the risk increase for aortic dissection alone was not found to be significant (adjusted RR = 1.88 (0.11 - 3.65); I2 = 74%). : In subgroup analysis, the risk increase for aortic aneurysm or aortic dissection appeared to be higher in females compared to males (RR = 1.87 (1.24 - 2.51); I2 = 0% versus RR = 1.58 (1.25 - 1.92); I2 = 0%, respectively) and higher in older patients compared to younger patients (RR = 1.72 (1.37 - 2.07); I2 = 0% versus RR = 1.47 (0.91 - 2.04); I2 = 0%, respectively). : Subgroup analysis of two studies which measured the duration-response analysis found that as the duration of fluoroquinolone therapy increased from 3 to 14 days to greater than 14 days, there was an increased risk of aortic aneurysm or dissection. Conclusion: The findings of this meta-analysis confirm the positive association between fluoroquinolones and the development of aortic aneurysm or dissection. The data tend to show that this association may be majorly driven by aortic aneurysm. Additionally, some risk factors appear to prevail including prolonged fluoroquinolone treatment and older age.

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

Cited by 5 publications

References 10 publications

Case of ruptured Staphylococcus aureusaortitis: presentation and management

Case of ruptured Staphylococcus aureusaortitis: presentation and management

A strobe multicenter descriptive study of 55 infectious aortitis

Fluoroquinolones and the Risk of Aortic Aneurysm or Aortic Dissection: A Systematic Review and Meta-Analysis

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