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Published in: BMC Infectious Diseases 1/2017

Open Access 01-12-2017 | Case report

Endovascular treatment of thoracic aortic pseudoaneurysm due to brucellosis: a rare case report

Authors: Shuai Wang, Qi Wang, Han Liu, Siqiao Sun, Xiwei Sun, Yang Zhang, Zhongying Wang, Zhihua Cheng

Published in: BMC Infectious Diseases | Issue 1/2017

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Abstract

Background

Arterial damage is a known complication of brucellosis, but the occurrence of a thoracic aortic pseudoaneurysm secondary to brucellosis has not been previously reported.

Case presentation

A 65-year-old Chinese man presented with a pseudoaneurysm in the descending segment of the thoracic aorta that caused symptoms of chest pain and intermittent fever. He was diagnosed with a thoracic aortic pseudoaneurysm secondary to brucellosis based on a positive brucella serology test (standard-tube agglutination test) and imaging examination (computed tomography angiography). Anti-brucellosis treatment and covered stent graft implantation were attempted to eliminate the brucellosis and pseudoaneurysm, respectively, and were ultimately successful, with no symptoms after 6 months of follow-up.

Conclusion

Endovascular repair may be effective and safe for treating a thoracic aortic pseudoaneurysm resulting from brucellosis.
Literature
1.
go back to reference Colomba C, Siracusa L, Rubino R, Trizzino M, Scarlata F, Imburgia C, et al. A case of Brucella endocarditis in association with subclavian artery thrombosis. Case rep Infect dis. 2012;581489 Colomba C, Siracusa L, Rubino R, Trizzino M, Scarlata F, Imburgia C, et al. A case of Brucella endocarditis in association with subclavian artery thrombosis. Case rep Infect dis. 2012;581489
2.
go back to reference Cui BY. Epidemic surveillance and control of brucellosis in China. Disease Surveillance. 2007;22(10):649–51. Cui BY. Epidemic surveillance and control of brucellosis in China. Disease Surveillance. 2007;22(10):649–51.
3.
go back to reference Pappas G, Akritidis N, Bosilkovski M, Tsianos E. Brucellosis. N Engl J med. 2005;352(22):2325–36.CrossRefPubMed Pappas G, Akritidis N, Bosilkovski M, Tsianos E. Brucellosis. N Engl J med. 2005;352(22):2325–36.CrossRefPubMed
4.
go back to reference Reguera JM, Alarcon A, Miralles F, Pachon J, Juarez C, Colmenero JD. Brucella endocarditis: clinical, diagnostic, and therapeutic approach. Eur J Clin Microbiol Infect dis. 2003;22(11):647–50.CrossRefPubMed Reguera JM, Alarcon A, Miralles F, Pachon J, Juarez C, Colmenero JD. Brucella endocarditis: clinical, diagnostic, and therapeutic approach. Eur J Clin Microbiol Infect dis. 2003;22(11):647–50.CrossRefPubMed
5.
go back to reference Harman M, Irmak H, Arslan H, Arslan U, Kayan M. Popliteal artery pseudoaneurysm: a rare complication of brucellosis. J Clin Ultrasound. 2004;32(1):33–6.CrossRefPubMed Harman M, Irmak H, Arslan H, Arslan U, Kayan M. Popliteal artery pseudoaneurysm: a rare complication of brucellosis. J Clin Ultrasound. 2004;32(1):33–6.CrossRefPubMed
6.
go back to reference Ustuner E, Erden A, Fitoz S, Erden I, Sancak T. Deep femoral artery pseudoaneurysm due to brucellosis. J Ultrasound med. 2001;20(12):1353–6.CrossRefPubMed Ustuner E, Erden A, Fitoz S, Erden I, Sancak T. Deep femoral artery pseudoaneurysm due to brucellosis. J Ultrasound med. 2001;20(12):1353–6.CrossRefPubMed
7.
go back to reference Bergeron P, Gonzales-Fajardo J, Mangialardi N, Courbier R. False aneurysm of the abdominal aorta due to Brucella suis. Ann Vasc Surg. 1992;6(5):460–3.CrossRefPubMed Bergeron P, Gonzales-Fajardo J, Mangialardi N, Courbier R. False aneurysm of the abdominal aorta due to Brucella suis. Ann Vasc Surg. 1992;6(5):460–3.CrossRefPubMed
8.
go back to reference Ferrero MC, Bregante J, Delpino MV, Barrionuevo P, Fossati CA, Giambartolomei GH, et al. Proinflammatory response of human endothelial cells to Brucella infection. Microbes Infect. 2011;13(10):852–61.CrossRefPubMed Ferrero MC, Bregante J, Delpino MV, Barrionuevo P, Fossati CA, Giambartolomei GH, et al. Proinflammatory response of human endothelial cells to Brucella infection. Microbes Infect. 2011;13(10):852–61.CrossRefPubMed
9.
go back to reference Gelfand MS, Kaiser AB, Dale WA. Localized brucellosis: popliteal artery aneurysm, mediastinitis, dementia, and pneumonia. Rev Infect dis. 1989;11(5):783–8.CrossRefPubMed Gelfand MS, Kaiser AB, Dale WA. Localized brucellosis: popliteal artery aneurysm, mediastinitis, dementia, and pneumonia. Rev Infect dis. 1989;11(5):783–8.CrossRefPubMed
10.
go back to reference Zaidan R, Al Tahan AR. Cerebral venous thrombosis: a new manifestation of neurobrucellosis. Clin Infect dis. 1999;28(2):399–400.CrossRefPubMed Zaidan R, Al Tahan AR. Cerebral venous thrombosis: a new manifestation of neurobrucellosis. Clin Infect dis. 1999;28(2):399–400.CrossRefPubMed
11.
go back to reference Yrivarren JL, Lopez LR. Cryoglobulinemia and cutaneous vasculitis in human brucellosis. J Clin Immunol. 1987;7(6):471–4.CrossRefPubMed Yrivarren JL, Lopez LR. Cryoglobulinemia and cutaneous vasculitis in human brucellosis. J Clin Immunol. 1987;7(6):471–4.CrossRefPubMed
12.
go back to reference Odeh M, Pick N, Oliven A. Deep venous thrombosis associated with acute brucellosis--a case report. Angiology. 2000;51(3):253–6.CrossRefPubMed Odeh M, Pick N, Oliven A. Deep venous thrombosis associated with acute brucellosis--a case report. Angiology. 2000;51(3):253–6.CrossRefPubMed
13.
go back to reference Andrew WK. An unusual cause of deep venous thrombosis of the lower limb. S Afr med J. 2000;90(1):42.PubMed Andrew WK. An unusual cause of deep venous thrombosis of the lower limb. S Afr med J. 2000;90(1):42.PubMed
14.
go back to reference Caylan R, Keske S, Durmaz T, Keles T, Tasyaran MA. A case of Brucella endocarditis in association with superficial femoral artery thrombus. Trop Dr. 2009;39(4):251–2.CrossRef Caylan R, Keske S, Durmaz T, Keles T, Tasyaran MA. A case of Brucella endocarditis in association with superficial femoral artery thrombus. Trop Dr. 2009;39(4):251–2.CrossRef
15.
go back to reference Prasad S, Lingadakai R, Chethan K, Abdul Z. Superior mesenteric artery syndrome secondary to brucellosis - a case report. Indian J Surg. 2010;72(3):265–7.CrossRefPubMedPubMedCentral Prasad S, Lingadakai R, Chethan K, Abdul Z. Superior mesenteric artery syndrome secondary to brucellosis - a case report. Indian J Surg. 2010;72(3):265–7.CrossRefPubMedPubMedCentral
17.
go back to reference Trevisani MF, Ricci MA, Michaels RM, Meyer KK. Multiple mesenteric aneurysms complicating subacute bacterial endocarditis. Arch Surg. 1987;122(7):823–4.CrossRefPubMed Trevisani MF, Ricci MA, Michaels RM, Meyer KK. Multiple mesenteric aneurysms complicating subacute bacterial endocarditis. Arch Surg. 1987;122(7):823–4.CrossRefPubMed
18.
go back to reference Dean RH, Waterhouse G, Meacham PW, Weaver FA, O'Neil JA Jr. Mycotic embolism and embolomycotic aneurysms. Neglected lessons of the past. Ann Surg. 1986;204(3):300–7.CrossRefPubMedPubMedCentral Dean RH, Waterhouse G, Meacham PW, Weaver FA, O'Neil JA Jr. Mycotic embolism and embolomycotic aneurysms. Neglected lessons of the past. Ann Surg. 1986;204(3):300–7.CrossRefPubMedPubMedCentral
19.
go back to reference Togan T, Ciftci O, Turan H, Narci H, Gullu H, Arslan H. Could there be an association between chronic brucellosis and endothelial damage? J Infect dev Ctries. 2015;9(1):48–54.CrossRefPubMed Togan T, Ciftci O, Turan H, Narci H, Gullu H, Arslan H. Could there be an association between chronic brucellosis and endothelial damage? J Infect dev Ctries. 2015;9(1):48–54.CrossRefPubMed
20.
go back to reference Gursoy MO, Tursun I, Alpua M, Haykir Solay A, Tokat Cobanli M, Demirtas H, et al. Brucellosis impairs endothelial functions in chronic symptomatic patients without overt cardiac involvement. Turk Kardiyol Dern Ars 2015; 43(3): 242–249.CrossRefPubMed Gursoy MO, Tursun I, Alpua M, Haykir Solay A, Tokat Cobanli M, Demirtas H, et al. Brucellosis impairs endothelial functions in chronic symptomatic patients without overt cardiac involvement. Turk Kardiyol Dern Ars 2015; 43(3): 242–249.CrossRefPubMed
21.
go back to reference Cheng Z, Luo SX, Sun X, Sun S, Wang Z, Jiang Y, et al. Surgical treatment of syphilitic superficial femoral artery aneurysm: a rare case report. BMC Infect dis. 2015;15:540.CrossRefPubMedPubMedCentral Cheng Z, Luo SX, Sun X, Sun S, Wang Z, Jiang Y, et al. Surgical treatment of syphilitic superficial femoral artery aneurysm: a rare case report. BMC Infect dis. 2015;15:540.CrossRefPubMedPubMedCentral
22.
go back to reference Inaba Y, Ito T, Hayashi S, Iida Y, Misumi T, Shimizu H. Surgical strategy for thoracic aortic Pseudoaneurysm with sternal adherence. Ann Vasc dis. 2016;9(3):235–9.CrossRefPubMedPubMedCentral Inaba Y, Ito T, Hayashi S, Iida Y, Misumi T, Shimizu H. Surgical strategy for thoracic aortic Pseudoaneurysm with sternal adherence. Ann Vasc dis. 2016;9(3):235–9.CrossRefPubMedPubMedCentral
23.
go back to reference Goodney PP, Travis L, Lucas FL, Fillinger MF, Goodman DC, Cronenwett JL, et al. Survival after open versus endovascular thoracic aortic aneurysm repair in an observational study of the Medicare population. Circulation. 2011;124(24):2661–9.CrossRefPubMedPubMedCentral Goodney PP, Travis L, Lucas FL, Fillinger MF, Goodman DC, Cronenwett JL, et al. Survival after open versus endovascular thoracic aortic aneurysm repair in an observational study of the Medicare population. Circulation. 2011;124(24):2661–9.CrossRefPubMedPubMedCentral
24.
go back to reference Solis Garcia del Pozo J, Solera J. Systematic Review and Meta-Analysis of Randomized Clinical Trials in the Treatment of Human Brucellosis. PLoS One. 2012; 7(2): e32090. Solis Garcia del Pozo J, Solera J. Systematic Review and Meta-Analysis of Randomized Clinical Trials in the Treatment of Human Brucellosis. PLoS One. 2012; 7(2): e32090.
Metadata
Title
Endovascular treatment of thoracic aortic pseudoaneurysm due to brucellosis: a rare case report
Authors
Shuai Wang
Qi Wang
Han Liu
Siqiao Sun
Xiwei Sun
Yang Zhang
Zhongying Wang
Zhihua Cheng
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2017
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-017-2485-7

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