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[Infectious or inflammatory aortitis? One case report]
- Source :
- La Revue de medecine interne. 27(9)
- Publication Year :
- 2006
-
Abstract
- The infectious or inflammatory nature of an aortitis is difficult to assert because the microbiological results are often negative. The development of an aneurysm under treatment is rare, but requires a change in the therapeutic strategy and the etiologic diagnosis needs to be discussed again.We report the case of a 69-year-old woman treated by corticotherapy for an aortitis thought to be inflammatory, who required emergency surgery when a dissected aneurysm appeared. The peroperative samples were positive to Streptococcus pneumoniae using polymerase chain reaction and allowed a change of the diagnosis. The patient evolved favorably under antibiotic therapy.The decision to treat an aortitis by corticotherapy must be made with caution even if the microbiological tests are negative.
- Subjects :
- Ofloxacin
Time Factors
Aortitis
Ceftriaxone
Pneumococcal Infections
Anti-Bacterial Agents
Aortic Dissection
Streptococcus pneumoniae
Treatment Outcome
Adrenal Cortex Hormones
Humans
Drug Therapy, Combination
Female
Emergencies
Gentamicins
Tomography, X-Ray Computed
Aged
Aortic Aneurysm, Abdominal
Follow-Up Studies
Subjects
Details
- Language :
- French
- ISSN :
- 02488663
- Volume :
- 27
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- La Revue de medecine interne
- Accession number :
- edsair.pmid..........8bad561911726e6f4f8644651a819d6f