Air in the aortic wall: A rare case of Clostridium septicum aortitis
An 81-year-old male presented to the emergency department with a 48-h history of central chest pain radiating to the back. Observations revealed hypoxia, tachycardia, and hypotension. Biochemistry revealed raised inflammatory markers (white cell count: 18.5 × 109/L and C-reactive protein: 62.5 mg/L)...
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Wolters Kluwer Medknow Publications
2021-01-01
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Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=167;epage=168;aulast=Pradhan |
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doaj-351470ed0c964777aa8852e1c9ca104b2021-04-20T09:23:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992021-01-018216716810.4103/ijves.ijves_66_20Air in the aortic wall: A rare case of Clostridium septicum aortitisAniket PradhanGiordano PerinAn 81-year-old male presented to the emergency department with a 48-h history of central chest pain radiating to the back. Observations revealed hypoxia, tachycardia, and hypotension. Biochemistry revealed raised inflammatory markers (white cell count: 18.5 × 109/L and C-reactive protein: 62.5 mg/L) and reduced renal function (creatinine: 157 μmol/L and urea 10.2 mmol/L). Computed tomographic (CT) scan (CT aortogram) revealed the presence of air in a diseased thoracic and abdominal aorta wall with no evidence of aneurysm (A, B, and C). Wall thickening at the cecal pole was noted as well (D). A diagnosis of acute aortitis was made, and the patient was started on intravenous antibiotics. Blood cultures isolated Clostridium septicum. Follow-up CT aortogram performed at 2 weeks revealed a resolution of the pockets of air. Colonoscopy revealed the presence of a fungating cecal mass (adenocarcinoma) as a source of bacteremia leading to aortitis; further, staging identified the disease as nonresectable.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=167;epage=168;aulast=Pradhanaortitisclostridium septicumcolorectal cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aniket Pradhan Giordano Perin |
spellingShingle |
Aniket Pradhan Giordano Perin Air in the aortic wall: A rare case of Clostridium septicum aortitis Indian Journal of Vascular and Endovascular Surgery aortitis clostridium septicum colorectal cancer |
author_facet |
Aniket Pradhan Giordano Perin |
author_sort |
Aniket Pradhan |
title |
Air in the aortic wall: A rare case of Clostridium septicum aortitis |
title_short |
Air in the aortic wall: A rare case of Clostridium septicum aortitis |
title_full |
Air in the aortic wall: A rare case of Clostridium septicum aortitis |
title_fullStr |
Air in the aortic wall: A rare case of Clostridium septicum aortitis |
title_full_unstemmed |
Air in the aortic wall: A rare case of Clostridium septicum aortitis |
title_sort |
air in the aortic wall: a rare case of clostridium septicum aortitis |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Vascular and Endovascular Surgery |
issn |
0972-0820 2394-0999 |
publishDate |
2021-01-01 |
description |
An 81-year-old male presented to the emergency department with a 48-h history of central chest pain radiating to the back. Observations revealed hypoxia, tachycardia, and hypotension. Biochemistry revealed raised inflammatory markers (white cell count: 18.5 × 109/L and C-reactive protein: 62.5 mg/L) and reduced renal function (creatinine: 157 μmol/L and urea 10.2 mmol/L). Computed tomographic (CT) scan (CT aortogram) revealed the presence of air in a diseased thoracic and abdominal aorta wall with no evidence of aneurysm (A, B, and C). Wall thickening at the cecal pole was noted as well (D). A diagnosis of acute aortitis was made, and the patient was started on intravenous antibiotics. Blood cultures isolated Clostridium septicum. Follow-up CT aortogram performed at 2 weeks revealed a resolution of the pockets of air. Colonoscopy revealed the presence of a fungating cecal mass (adenocarcinoma) as a source of bacteremia leading to aortitis; further, staging identified the disease as nonresectable. |
topic |
aortitis clostridium septicum colorectal cancer |
url |
http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=167;epage=168;aulast=Pradhan |
work_keys_str_mv |
AT aniketpradhan airintheaorticwallararecaseofclostridiumsepticumaortitis AT giordanoperin airintheaorticwallararecaseofclostridiumsepticumaortitis |
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