Abdelazeem Basel, Kambalapalli Soumya, Lahmar Abdelilah, Yousaf Amman, Kusz Halina
Internal Medicine, McLaren Health Care, Michigan State University (MSU), Flint, USA.
Medicine, Faculty of Medicine and Pharmacy of Oujda, Oujda, MAR.
Cureus. 2022 Mar 15;14(3):e23198. doi: 10.7759/cureus.23198. eCollection 2022 Mar.
Aortitis is the inflammation of the aorta secondary to either infectious or non-infectious etiologies. Infectious aortitis is a rare but potentially life-threatening condition. It is more common among older patients with preexisting pathology. Clinical presentation is variable, therefore, a high index of suspicion is required for timely diagnosis and management. We report a case of aortitis which was complicated with the development of a saccular abdominal aortic aneurysm. A 76-year-old male presented to the Emergency Department with two days of right lower quadrant abdominal pain. Clinical evaluation and imaging studies revealed abdominal aortitis, which progressed to a saccular abdominal aortic aneurysm. We highlight a unique presentation of infectious aortitis to raise awareness among physicians. We also reviewed the available literature on infectious aortitis to illustrate the importance of early diagnosis and appropriate treatment to improve the patients' outcomes.
主动脉炎是继发于感染性或非感染性病因的主动脉炎症。感染性主动脉炎是一种罕见但可能危及生命的疾病。它在有基础疾病的老年患者中更为常见。临床表现多样，因此，需要高度怀疑才能及时诊断和处理。我们报告一例主动脉炎并发囊状腹主动脉瘤的病例。一名76岁男性因右下腹部疼痛两天就诊于急诊科。临床评估和影像学检查显示为腹主动脉炎，进而发展为囊状腹主动脉瘤。我们强调感染性主动脉炎的一种独特表现，以提高医生的认识。我们还回顾了关于感染性主动脉炎的现有文献，以说明早期诊断和适当治疗对改善患者预后的重要性。
