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Kholoki O, Alawadhi H, Manla Y, Göbölös L, Hegazi SM, Lascano SG, Balkis M, Dababo N, Bafadel A, Bonilla MF. Infectious aortic aneurysms: A case report and review of cases from the Middle East and North Africa (MENA) region. IJID REGIONS 2024; 10:123-125. [PMID: 38234973 PMCID: PMC10793087 DOI: 10.1016/j.ijregi.2023.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 11/28/2023] [Accepted: 12/01/2023] [Indexed: 01/19/2024]
Abstract
An infectious aortic aneurysm is a rare disease entity. We report a challenging case of a 29-year-old male presenting with chest pain and constitutional symptoms. The patient was found to have three pseudoaneurysms of the aorta on imaging, significant pathological findings of necrotizing granulomatous lymphadenitis from a supraclavicular lymph node biopsy, and a highly suggestive clinical picture of tuberculous aortitis. He was referred to vascular surgery for intervention and discharged on antituberculous therapy for 6 months. To the best of our knowledge, only five cases of tuberculous aortic aneurysms have been reported from the Middle East and North Africa (MENA) region, all with favorable outcomes. A high index of suspicion, early detection, and prompt intervention are essential in managing such cases.
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Affiliation(s)
- Obada Kholoki
- Heart, Vascular, and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Hamdan Alawadhi
- Division of Internal Medicine, Department of Medicine, Cleveland Clinic Abu Dhabi Hospital, Abu Dhabi, United Arab Emirates
| | - Yosef Manla
- Heart, Vascular, and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Laszlo Göbölös
- Heart, Vascular, and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Shady M. Hegazi
- Heart, Vascular, and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Simon G. Lascano
- Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Maher Balkis
- Internal Medicine, Cleveland Clinic Florida, Weston, USA
| | - Nour Dababo
- Heart, Vascular, and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Ahmed Bafadel
- Heart, Vascular, and Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Maria-Fernanda Bonilla
- Department of Infectious Diseases, Medical Subspecialties Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
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De Smet D, Payen MC, Remes J, Van den Wijngaert S, Vouche M, Konopnicki D. Tuberculosis and pseudoaneurysms. Med Mal Infect 2020; 50:446-450. [PMID: 32081503 DOI: 10.1016/j.medmal.2020.01.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 11/20/2019] [Accepted: 01/28/2020] [Indexed: 11/24/2022]
Affiliation(s)
- D De Smet
- CHU Saint-Pierre, Brussels, Belgium.
| | | | - J Remes
- CHU Saint-Pierre, Brussels, Belgium
| | | | - M Vouche
- CHU Saint-Pierre, Brussels, Belgium
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