Jasper Callemeyn1, Kim Daenens2, Inge Derdelinckx3, Steven Dymarkowski4, Katleen Fagard5. 1. a Faculty of Medicine , Katholieke Universiteit Leuven , Leuven , Belgium. 2. b Department of Vascular Surgery , University Hospitals Leuven , Leuven , Belgium. 3. c Department of Internal Medicine, Infectious Diseases , University Hospitals Leuven , Leuven , Belgium. 4. d Department of Radiology , University Hospitals Leuven , Leuven , Belgium. 5. e Department of Geriatric Medicine , University Hospitals Leuven , Leuven , Belgium.
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.
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.