INFECTIOUS ABDOMINAL AORTITIS: A REVIEW OF THE LITERATURE

SIMOES P.¹, ANNAPUREDDY N.², KANAKADANDI V.³, SABHARWAL M.S.⁴, NADKARNI G.^5
1Department of Medicine, St. Luke’s-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons. 1000 Tenth Avenue, Suite 3A-02, New York 10019, USA
²Department Of Rheumatology, Rush University Medical Center, The Orthopedic Building at Rush University Medical Center, 1611 W. Harrison Street, Suite 510, Chicago, IL 60612, USA
³Department of Gastroenterology, Kansas City VA Medical Center, 4801 E Linwood Blvd, Kansas City, MO-64128, USA
⁴Department of Cardiology, St. Luke’s-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons. 1000 Tenth Avenue, Suite 3A-02, New York 10019, USA
⁵Department of Nephrology, The Mount Sinai School Of Medicine, One Gustave L. Levy Place, Box 1243, New York 10029, USA

Received : 26-11-2013     Accepted : 18-12-2013     Published : 21-12-2013
Volume : 1     Issue : 1       Pages : 11 - 14
World Res J Med 1.1 (2013):11-14

Infectious abdominal aortitis is a clinical entity rarely seen today in the era effective antibiotic therapy. It usually occurs with aneurysm formation, though non aneurysmal aortitis also occurs. The most common causative bacteria are E coli, Strep pneumoniae, Staphylococcus aureus and Salmonella species. Fever and abdominal or back pain are the most common clinical features. CT angiogram is usually the first choice imaging modality, Treatment is with antibiotics, removal of the infected aortic segment followed by revascularization. This is a brief review of the epidemiology, pathogenesis, clinical features, diagnosis and management of infectious aortitis and its complications.