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Prevotella intermedia infection causing acute and complicated aortitis-A case report.
C Boersma1, L M Kampschreur1, H Buter1
1Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD Leeuwarden, The Netherlands (5).
International Journal of Surgery Case Reports
|March 2, 2017
Summary
This case report details a rare instance of infectious aortitis caused by Prevotella intermedia. Prompt surgical intervention and a six-week antibiotic course led to a successful recovery from this life-threatening condition.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Vascular Surgery
Background:
- Aortitis encompasses inflammation of the aortic wall, presenting diverse etiologies.
- Infectious aortitis, though rare, poses significant life-threatening risks.
- Prevotella intermedia is an uncommon pathogen implicated in infectious aortitis.
Purpose of the Study:
- To report a case of infectious aortitis caused by Prevotella intermedia.
- To describe the surgical and antibiotic management of this rare condition.
- To highlight the importance of multidisciplinary care in managing acute aortitis.
Main Methods:
- A 44-year-old male presented with symptoms suggestive of aortitis, including fever and abdominal/back pain.
- Computed tomography angiography revealed aortic atherosclerosis, contained rupture, and signs of inflammation.
- Surgical aortic reconstruction was performed, followed by a six-week course of antibiotics targeting Prevotella intermedia.
Main Results:
- Blood cultures confirmed Prevotella intermedia as the causative agent.
- The patient underwent successful aortic reconstruction and recovered uneventfully.
- Postoperative antibiotic therapy was crucial for resolving the infection.
Conclusions:
- Acute aortitis is a complex clinical challenge requiring prompt diagnosis and management.
- Infectious aortitis necessitates aggressive antibiotic treatment (minimum six weeks) and close monitoring.
- Management should occur in specialized centers with experienced multidisciplinary teams.
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