Two cases with acute abdominal aneurysm and evidence of acute Q fever infection

Julia C J P Hagenaars; Linda M Kampschreur; Monique G L de Jager-Leclercq; André S van Petersen; Frans L Moll; Nicole H M Renders; Peter C Wever; Olivier H J Koning; Elske Hoornenborg

doi:10.1016/j.avsg.2013.03.022

Two cases with acute abdominal aneurysm and evidence of acute Q fever infection

Ann Vasc Surg. 2014 Feb;28(2):494.e1-3. doi: 10.1016/j.avsg.2013.03.022. Epub 2013 Dec 22.

Authors

Julia C J P Hagenaars¹, Linda M Kampschreur², Monique G L de Jager-Leclercq³, André S van Petersen⁴, Frans L Moll⁵, Nicole H M Renders⁶, Peter C Wever⁶, Olivier H J Koning⁷, Elske Hoornenborg⁸

Affiliations

¹ Department of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. Electronic address: j.c.j.p.hagenaars@gmail.com.
² Department of Internal Medicine, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands; Division of Medicine, Department of Internal Medicine and Infectious Diseases, University Medical Center Utrecht, Utrecht, The Netherlands.
³ Department of Internal Medicine, Bernhoven Hospital, Oss-Uden-Veghel, The Netherlands.
⁴ Department of Surgery, Bernhoven Hospital, Oss-Uden-Veghel, The Netherlands.
⁵ Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
⁶ Department of Medical Microbiology and Infection Control, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
⁷ Department of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
⁸ Department of Internal Medicine, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.

PMID: 24368182
DOI: 10.1016/j.avsg.2013.03.022

Abstract

We report 2 patients with symptomatic aortic aneurysm and serologic evidence of acute Q fever with positive Coxiella burnetii PCR in blood/tissue. This suggests a role for acute Q fever in aneurysm progression. Diagnostic testing for Q fever infection in patients with symptomatic aneurysms in Q fever areas is recommended.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm, Infected / diagnosis
Aneurysm, Infected / microbiology*
Aneurysm, Infected / therapy
Anti-Bacterial Agents / therapeutic use
Antibodies, Bacterial / blood
Aortic Aneurysm, Abdominal / diagnosis
Aortic Aneurysm, Abdominal / microbiology*
Aortic Aneurysm, Abdominal / therapy
Biomarkers / blood
Coxiella burnetii / genetics
Coxiella burnetii / immunology
Coxiella burnetii / isolation & purification*
DNA, Bacterial / blood
Disease Progression
Emergencies
Endovascular Procedures
Humans
Male
Polymerase Chain Reaction
Q Fever / complications
Q Fever / diagnosis
Q Fever / microbiology*
Q Fever / therapy
Serologic Tests
Treatment Outcome

Substances

Anti-Bacterial Agents
Antibodies, Bacterial
Biomarkers
DNA, Bacterial