Emphysematous Aortitis due to Clostridium septicum in an 89-Year-Old Female with Ileus

Author:

Urgiles Susana1,Matos-Casano Harold1ORCID,Win Kyaw Zin1,Berardo Jeronimo1,Bhatt Utpal2,Shah Jilan3

Affiliation:

1. Department of Internal Medicine, Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237, USA

2. Division of Pulmonary Disease and Critical Care Medicine, Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237, USA

3. Division of Infectious Disease, Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237, USA

Abstract

Emphysematous aortitis is a rare but lethal form of infectious vasculitis. This condition was found incidentally on computed tomography of the chest during the evaluation of a patient presenting with pneumonia coincident with adynamic ileus. The patient did not have a history of malignancy. While colon cancer could not be ruled out, it is possible that ileus may have contributed to or resulted in bacterial translocation in this case. Appropriate investigations and empirical therapy against Clostridium septicum should be initiated in the presence of clinical and radiological findings suggestive of emphysematous aortitis.

Publisher

Hindawi Limited

Subject

General Medicine

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