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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
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Brucellosis relapse causing thoracic aortic ulcers and aneurysm formation: a case report
1Department of Infectious Disease, Shanxi Provincial People's Hospital, Taiyuan, China.
BMC Infectious Diseases
|January 11, 2022
Summary
Brucellosis can cause rare but deadly aortic aneurysms. Early diagnosis with CT angiography and treatment, especially for those with livestock exposure, is crucial for survival.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Radiology
Background:
- Brucellosis, caused by Brucella spp., is an infection with rare but high-mortality cardiovascular complications.
- Aortic involvement, though infrequent, presents a significant risk.
Observation:
- A 67-year-old man with a history of pseudoaneurysms presented with thoracic aortic ulcers and aneurysm.
- Symptoms included left waist and buttock pain.
Findings:
- Diagnosis was confirmed by thoracic computed tomography angiography (CTA) and positive Brucella culture.
- Successful treatment involved thoracic aortic covered stent-graft implantation and antibiotics.
Implications:
- Individuals with livestock contact should consider Brucella infection if experiencing chest or abdominal pain.
- CTA is vital for identifying or excluding aortic aneurysms, enabling timely intervention.
- Early detection and treatment are critical for managing this life-threatening condition.
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