A case of giant cell arteritis associated with culture-proven Coxiella burnetii aortitis
Identifieur interne : 000087 ( France/Analysis ); précédent : 000086; suivant : 000088A case of giant cell arteritis associated with culture-proven Coxiella burnetii aortitis
Auteurs : S. Worm [Belgique] ; J. B. Giot [Belgique] ; C. Courtoy ; E. Gillet ; Sophie Amrane [France] ; P. Huynen [Belgique] ; M. Van Esbroeck ; E. Prudent [France] ; H. Lepidi [France] ; Matthieu Million [France] ; M. Moutschen [Belgique] ; Didier Raoult [France]Source :
- International Journal of Infectious Diseases [ 1201-9712 ] ; 2018.
English descriptors
Abstract
A case of proven Coxiella burnetii aortitis, possibly associated with giant cell arteritis (GCA), is reported. A 72-year-old man, who is a hunter, presented with weight loss, fever, jaw claudication, and hardened temporal arteries associated with a persistent inflammatory syndrome and arteritis of the whole aorta, including the brachiocephalic arteries, as seen on F-18-fluorodeoxyglucose positron emission tomography/computed tomography. The diagnosis of GCA was retained, and treatment with prednisolone was started. Given the aneurysm of the abdominal aorta, the patient underwent replacement of the abdominal aorta with an allograft. Histology showed intense chronic arteritis attributed to atherosclerosis with dissection. However, Coxiella burnetii infection was confirmed by serology and then by culture and molecular biology on the surgical specimen. A combination of hydroxychloroquine and doxycycline was added to tapered prednisolone and the outcome was favourable.
Url:
DOI: 10.1016/j.ijid.2018.01.028
Affiliations:
Links toward previous steps (curation, corpus...)
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- to stream France, to step Extraction: 000087
Links to Exploration step
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</hal:affiliation>
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<country>France</country>
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<orgName type="university">Université d'Aix-Marseille</orgName>
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<author><name sortKey="Lepidi, H" sort="Lepidi, H" uniqKey="Lepidi H" first="H." last="Lepidi">H. Lepidi</name>
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<orgName>Microbes évolution phylogénie et infections</orgName>
<orgName type="acronym">MEPHI</orgName>
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<country>France</country>
<placeName><settlement type="city">Marseille</settlement>
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<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Million, Matthieu" sort="Million, Matthieu" uniqKey="Million M" first="Matthieu" last="Million">Matthieu Million</name>
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<idno type="ISNI">0000 0001 2176 4817</idno>
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<orgName type="university">Université d'Aix-Marseille</orgName>
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<author><name sortKey="Moutschen, M" sort="Moutschen, M" uniqKey="Moutschen M" first="M." last="Moutschen">M. Moutschen</name>
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<country>Belgique</country>
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</author>
<author><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
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</address>
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<orgName>Aix Marseille Université</orgName>
<orgName type="acronym">AMU</orgName>
<date type="start">2012-01-01</date>
<desc> <address> <addrLine>Aix-Marseille UniversitéJardins du Pharo58 Boulevard Charles Livon13284 Marseille cedex 7</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.univ-amu.fr/</ref>
</desc>
</org>
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<orgName type="acronym">CNRS</orgName>
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<desc> <address> <country key="FR"></country>
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<country>France</country>
<placeName><settlement type="city">Marseille</settlement>
<region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
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</analytic>
<idno type="DOI">10.1016/j.ijid.2018.01.028</idno>
<series><title level="j">International Journal of Infectious Diseases</title>
<idno type="ISSN">1201-9712</idno>
<imprint><date type="datePub">2018</date>
</imprint>
</series>
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</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>Aortitis</term>
<term>Coxiella burnetii</term>
<term>Giant cell arteritis</term>
<term>Q fever</term>
<term>Vascular infection</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"> <p>A case of proven Coxiella burnetii aortitis, possibly associated with giant cell arteritis (GCA), is reported. A 72-year-old man, who is a hunter, presented with weight loss, fever, jaw claudication, and hardened temporal arteries associated with a persistent inflammatory syndrome and arteritis of the whole aorta, including the brachiocephalic arteries, as seen on F-18-fluorodeoxyglucose positron emission tomography/computed tomography. The diagnosis of GCA was retained, and treatment with prednisolone was started. Given the aneurysm of the abdominal aorta, the patient underwent replacement of the abdominal aorta with an allograft. Histology showed intense chronic arteritis attributed to atherosclerosis with dissection. However, Coxiella burnetii infection was confirmed by serology and then by culture and molecular biology on the surgical specimen. A combination of hydroxychloroquine and doxycycline was added to tapered prednisolone and the outcome was favourable.</p>
</div>
</front>
</TEI>
<affiliations><list><country><li>Belgique</li>
<li>France</li>
</country>
<region><li>Provence-Alpes-Côte d'Azur</li>
</region>
<settlement><li>Marseille</li>
</settlement>
<orgName><li>Université d'Aix-Marseille</li>
</orgName>
</list>
<tree><noCountry><name sortKey="Courtoy, C" sort="Courtoy, C" uniqKey="Courtoy C" first="C." last="Courtoy">C. Courtoy</name>
<name sortKey="Gillet, E" sort="Gillet, E" uniqKey="Gillet E" first="E." last="Gillet">E. Gillet</name>
<name sortKey="Van Esbroeck, M" sort="Van Esbroeck, M" uniqKey="Van Esbroeck M" first="M." last="Van Esbroeck">M. Van Esbroeck</name>
</noCountry>
<country name="Belgique"><noRegion><name sortKey="Worm, S" sort="Worm, S" uniqKey="Worm S" first="S." last="Worm">S. Worm</name>
</noRegion>
<name sortKey="Giot, J B" sort="Giot, J B" uniqKey="Giot J" first="J. B." last="Giot">J. B. Giot</name>
<name sortKey="Huynen, P" sort="Huynen, P" uniqKey="Huynen P" first="P." last="Huynen">P. Huynen</name>
<name sortKey="Moutschen, M" sort="Moutschen, M" uniqKey="Moutschen M" first="M." last="Moutschen">M. Moutschen</name>
</country>
<country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Amrane, Sophie" sort="Amrane, Sophie" uniqKey="Amrane S" first="Sophie" last="Amrane">Sophie Amrane</name>
</region>
<name sortKey="Lepidi, H" sort="Lepidi, H" uniqKey="Lepidi H" first="H." last="Lepidi">H. Lepidi</name>
<name sortKey="Million, Matthieu" sort="Million, Matthieu" uniqKey="Million M" first="Matthieu" last="Million">Matthieu Million</name>
<name sortKey="Prudent, E" sort="Prudent, E" uniqKey="Prudent E" first="E." last="Prudent">E. Prudent</name>
<name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
</country>
</tree>
</affiliations>
</record>
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