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J Vasc Surg. 2012 Jun;55(6):1779-81. doi: 10.1016/j.jvs.2011.12.074. Epub 2012 Mar 2.

Escherichia coli primary aortitis presenting as sequelae of incompletely treated urinary tract infection.

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Department of Surgery, Warren Alpert School of Medicine Brown University, Rhode Island Hospital, Providence, RI 02903, USA.


We report a rare case of nonaneurysmal infectious aortitis (IA) with the causative microorganism being Escherichia coli. The patient was a 78-year-old man who presented with a 3-week history of abdominal pain, fevers, and anorexia after treatment for a urinary tract infection. The patient had positive blood cultures and a computed tomography scan that had signs of IA. He was treated with intravenous antibiotics and extra-anatomic revascularization with excision and debridement of the infected aortic segment with a good outcome. IA is an uncommon condition with a high mortality rate; however, if diagnosed early, it can be successfully treated.

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