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Infective aortitis due to Brucella melitensis.

J M Aguado1, C Barros, J L Gomez Garces

  • 1Department of Internal Medicine, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.

Scandinavian Journal of Infectious Diseases
|January 1, 1987
PubMed
Summary
This summary is machine-generated.

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Infective aneurysms from Brucella melitensis are rare. This case highlights successful treatment via surgery and antibiotics for this abdominal aortic mycotic aneurysm.

Area of Science:

  • Infectious Diseases
  • Vascular Surgery
  • Bacteriology

Background:

  • Infective aneurysms are uncommon vascular complications.
  • Brucella species, particularly B. suis and B. abortus, have been rarely associated with these conditions.
  • Brucella melitensis has not been previously reported as a causative agent of mycotic aneurysm in the abdominal aorta.

Observation:

  • A rare case of a mycotic aneurysm of the abdominal aorta caused by Brucella melitensis is presented.
  • This represents the first documented instance in the English medical literature.

Findings:

  • Successful management involved surgical resection of the infected aneurysm.
  • An axillo-bifemoral bypass graft was placed to restore blood flow.
  • Prolonged antibiotic therapy with doxycycline and streptomycin was administered.

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Implications:

  • This case underscores the importance of considering Brucella melitensis in the differential diagnosis of infective aneurysms.
  • Extended antimicrobial therapy is crucial for eradicating the infection.
  • Extra-anatomical bypass grafting is a recommended surgical approach for managing aortic brucellosis.