ABSTRACT
Primary aortitis (PA) secondary to Listeria monocytogenes is extremely rare with only a few cases reported in the literature. Presently, there is no consensus concerning the best treatment when no complications are found in the thoracic computed tomography (CT) imaging. This report illustrates the clinical presentation and favorable clinical course of a rare case of PA secondary to Listeria monocytogenes in an 82-year-old diabetic woman, successfully treated with conservative management with 18 months of follow up. Included in this article, we additionally present a review of the literature of this uncommon etiology of infectious aortitis.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Aortitis/drug therapy , Conservative Treatment , Listeria monocytogenes/isolation & purification , Listeriosis/drug therapy , Aged, 80 and over , Anticoagulants/therapeutic use , Aortitis/diagnosis , Aortitis/microbiology , Female , Humans , Listeriosis/diagnosis , Listeriosis/microbiology , Treatment OutcomeABSTRACT
Positron emission tomography (PET) has been used to aid in diagnosis of inflammatory and infectious disease. We describe the case of a patient with early latent syphilis with increased metabolic activity along the aorta detected via PET, suggesting probable aortitis. Three months after treatment, the PET showed apparent resolution of the aortitis.
Subject(s)
AIDS-Related Opportunistic Infections/diagnostic imaging , Anti-Bacterial Agents/therapeutic use , Aortitis/diagnostic imaging , Aortitis/microbiology , Penicillin G Benzathine/therapeutic use , Positron-Emission Tomography , Syphilis, Cardiovascular/diagnostic imaging , AIDS-Related Opportunistic Infections/drug therapy , AIDS-Related Opportunistic Infections/metabolism , Aortitis/drug therapy , Aortitis/metabolism , Fluorodeoxyglucose F18/administration & dosage , Homosexuality, Male , Humans , Male , Middle Aged , Peru , Positron-Emission Tomography/methods , Radiopharmaceuticals/administration & dosage , Reproducibility of Results , Syphilis, Cardiovascular/drug therapy , Syphilis, Cardiovascular/metabolism , Treatment OutcomeABSTRACT
The authors report a clinical case of a 60-year-old Caucasian man, with two episodes of arterial embolization in the lower limbs. A microscope investigation of the emboli revealed that they originated from fungal aortitis caused by Paracoccidioides brasiliensis. A review of aortic infections showed only one similar report of this rare clinical expression of blastomycosis. The authors suggest a routine postoperative search for emboli followed by culture and histopathology.