RESUMO
Q fever is a zoonotic infection caused by Coxiella burnetii. In rare cases, it can lead to vascular complications, including infected aneurysms. Successful treatment involves surgery and antibiotics, but there is no established consensus or clear recommendation for the choice of material graft. We report a case of abdominal aortic aneurysm infected by C. burnetii treated by open surgery with complete resection of the aneurysm and homemade bovine pericardial bifurcated graft reconstruction and long-term antibiotherapy using doxycycline. One year postoperatively, the patient had no sign of persistent infection or vascular complication. Moreover, C. burnetii immunoglobulins titers decreased 6 months postoperatively.
RESUMO
This study defines and assesses a new operational concept to identify the origin of pollution at sea, based on Synthetic Aperture Radar, Automatic Identification System, and a forward drift model. As opposed to traditional methodologies where the SAR detected pollution is backtracked in the past, our approach assumes that all the vessels pollute all along their way. Based on all the AIS data flows, the forward-tracked simulated pollutions are then compared to the detected pollution, and the potential polluter can be finally identified. Case studies are presented to showcase its usefulness in a variety of maritime situations with a focus on orphan pollutions in a dense traffic area. Out of the identification of the suspected polluters, the age and eventually the type of the pollution can be retrieved.