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Case Reports
. 2016 Jul 30:5:60-2.
doi: 10.1016/j.idcr.2016.07.010. eCollection 2016.

Staphylococcus aureus aortitis and retroperitoneal fibrosis: A case report and literature review

Marta Yague  1 , Ignacio Temprano  1 , Juan Losa  2 , Luis De Benito  3 , Raul De La Cruz  4 , Natalie Cheyne  5 , Cesar Henriquez  2
Affiliations
Case Reports

Staphylococcus aureus aortitis and retroperitoneal fibrosis: A case report and literature review

Marta Yague et al. IDCases. .

Abstract

An infected aortic aneurysm is a process with high mortality rate. Survival is dependent on an early diagnosis and surgical management. This case report details a rare presentation of aortitis with persistent methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia, which initially presented as retroperitoneal fibrosis and was ultimately fatal.

Keywords: Aneurysm; Aortitis; MSSA; Retroperitoneal fibrosis; Vascular surgery.

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Figures

Fig. 1
Fig. 1
Non-contrast CT of the abdomen and pelvis showing mural aortic calcifications, surrounded by sub-circumferential soft-tissue density (arrow) compatible con retroperitoneal fibrosis.
Fig. 2
Fig. 2
Contrast CT of the abdomen and pelvis showing aortic lumen, eccentric periaortic tissue, pseudoaneurysm/saccular aneurysm (arrow) that depends of left renal artery, and rupture of the right side of the infrarenal abdominal aorta with blood leakage and retroperitoneal hematoma.
Fig. 3
Fig. 3
Abdominal aortic reconstruction. 1: splenic artery, 2: right renal artery, 3: pseudoaneurysm/saccular aneurysm that depends of 4: left renal artery, 5: left common iliac artery, 6: right common iliac artery.
See this image and copyright information in PMC

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