Conservative treatment of non-aneurysmal infectious aortitis: a case report and review of the literature. Issue 2 (4th March 2019)

• Record Type: Journal Article
• Authors: Callemeyn, Jasper; Daenens, Kim; Derdelinckx, Inge; Dymarkowski, Steven; Fagard, Katleen
• Is Part Of: Acta clinica belgica. Volume 74:Issue 2(2019)
• Page Start: 86
• Page End: 91
• Publication Date: 2019-03-04
• Subjects: Aortitis -- infectious -- non-aneurysmal -- elderly -- pseudoaneurysm; Clinical medicine -- Periodicals; Diagnosis, Laboratory -- Periodicals; 616.005
• DOI: 10.1080/17843286.2018.1467586
• Languages: English
• ISSNs: 1784-3286

Abstract

Abstract: Background: Non-aneurysmal infectious aortitis is a rare clinical entity with most often lethal complications when surgical intervention is delayed. Objectives: This report describes the case of a non-aneurysmal infectious aortitis complicated with a penetrating aortic ulcer in an elderly woman, caused by a methicillin-sensitive Staphylococcus aureus . Surgery was deemed contra-indicated and treatment was limited to the administration of intravenous vancomycin (2 grams daily), followed by flucloxacillin (6 times 2 grams daily). She remains well after one year. Methods: The Internet databases Medline and Embase were searched. Articles were selected based on relevanceof abstract, article type and impact of the journal. Results: A literature review addresses current insights in the pathogenesis, diagnosis, and treatment of non-aneurysmal infectious aortitis.