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Chirurgia 2008 October;21(5):271-4

language: English

Surgical treatment of abdominal aortic aneurysm in a patient infected by Coxiella Burnetii

Guijarro-Escribano J. F. 1, Toral Revuelta J. R. 2, Antón R. F. 3, Sainz González F. 1, Alguacil Rodríguez R. 1, Pérez Piqueras A

1 Vascular Surgery Department Hospital Central de la Defensa “Gómez Ulla”, Madrid, Spain
2 Infectious Diseases Department Hospital Central de la Defensa “Gómez Ulla”, Madrid, Spain
3 Radiology Department Hospital Central de la Defensa “Gómez Ulla”, Madrid, Spain


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The Coxiella Burnetii is the etiologic agent of the “Q” fever, and although the endocarditis is the most frequent chronic manifestation, there are also cases of infections of aneurysms and vascular grafts. We submit a case of a 65 year-old male, with intermittent fever, a lumbar pain that debilitate him, and with an infrarenal abdominal aortic aneurysm that it was diagnosed as “Q” fever because of infection with Coxiella Burnetii, identified by serologic study, and in the aneurysmatyc wall specimens after the surgery. The patient was treated with success, by means of the resection of the aneurysm and the placement of a bilateral aortofemoral bypass with Dacron prostheses covered of silver, and specific antibiotic therapy. At the 18-month follow-up, the patient was asymptomatic, with titers of immunoglobulin G antibodies in phase I decreasing, and without signs of aortic infection during the controls with computed tomography-scan. Sick people of “Q” fever and with an aortic aneurysm need the resection of this aneurysm in order to cure the chronic infection and the surgery has to be associated with prolonged antibiotic treatment.

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