A strobe multicenter descriptive study of 55 infectious aortitis Article Swipe
L. Journeau
,
M. de la Chapelle
,
Thomas Guimard
,
Yasmina Ferfar
,
David Saadoun
,
Isabelle Mahé
,
Yves Castier
,
Philippe Montravers
,
X. Lescure
,
Damien Van Gysel
,
Nathalie Asseray
,
Jean-Baptiste Lascarrou
,
Chan Ngohou
,
Yves-Marie Vandamme
,
J. Connault
,
Patrick Desbordes de Cepoy
,
Julia Brochard
,
Yann Gouëffic
,
Marc‐Antoine Pistorius
,
David Boutoille
,
Olivier Espitia
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000022422
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000022422
Infectious aortitis (IA) is a rare and severe disease. The treatment classically associates open surgery with prolonged antibiotic therapy. This study aimed to describe clinical characteristics, medical and surgical supports in a large and current series of IA.We conducted a retrospective multicenter study of native aorta IA, between 2000 and 2019. Inclusion criteria were the presence of a microorganism on blood culture, aortic sample or any other validated technique and structural anomaly in imaging.We included 55 patients (85% men), with a median age of 65. Microbiology data substantially differed from previous studies with 12 Gram-negative rods IA, of which only 3 due to Salmonella spp., 24 Gram-positive cocci IA of which 12 Streptococcus spp., and 18 IA due to intracellular growth and/or fastidious microorganisms, of which 8 Coxiella burnetii, 3 Treponema pallidum, and 5 tuberculosis suspicious cases. Fifteen patients (27%) presented with thoracic IA, 31 (56%) with abdominal IA, and 9 (16%) with thoraco-abdominal IA. Eight patients had no surgery, 41 underwent open surgery, only 4 endovascular aneurysm repair, and 2 a combination of these 2 techniques. Nine patients died before 1-month follow-up. There was no difference in the mortality rate between the different types of germ or localization of IA.The variety of germs involved in IA increases. Positron emission tomography-computed tomography scan is a very useful tool for diagnosis. Surgery is still mainly done in open approach and a prospective multicenter study seems necessary to better determine the place of endovascular aneurysm repair versus open surgery.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/md.0000000000022422
- OA Status
- gold
- Cited By
- 19
- References
- 54
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3090953939
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3090953939Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/md.0000000000022422Digital Object Identifier
- Title
-
A strobe multicenter descriptive study of 55 infectious aortitisWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-09-30Full publication date if available
- Authors
-
L. Journeau, M. de la Chapelle, Thomas Guimard, Yasmina Ferfar, David Saadoun, Isabelle Mahé, Yves Castier, Philippe Montravers, X. Lescure, Damien Van Gysel, Nathalie Asseray, Jean-Baptiste Lascarrou, Chan Ngohou, Yves-Marie Vandamme, J. Connault, Patrick Desbordes de Cepoy, Julia Brochard, Yann Gouëffic, Marc‐Antoine Pistorius, David Boutoille, Olivier EspitiaList of authors in order
- Landing page
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https://doi.org/10.1097/md.0000000000022422Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1097/md.0000000000022422Direct OA link when available
- Concepts
-
Medicine, Fastidious organism, Aortitis, Surgery, Prospective cohort study, Radiology, Internal medicine, Aorta, Biology, Bacteria, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
19Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 6, 2023: 4, 2022: 2, 2021: 4Per-year citation counts (last 5 years)
- References (count)
-
54Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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