Page 73 - Virtual Vascular Vol 5

Gas in aneurysm sac
raising suspicion of
aorto-enteric fistula

Blood culture grew coxiella brunetii and patient was diagnosed with chronic Q
fever. Microbiologist suggested life long doxycycline and hydroxychloroquine.

However, he did not comply with treatment and came back with fever, tarry

stool and anemia…

Laminectomy

and posterior

spinal fusion

performed by

orthopedics for

spondylodiscitis

invaded by the

para-aortic

collection.

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