{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:03Z","timestamp":1756307403487,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,16]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Infectious aortitis is a rare disease process which can be of fungal, viral or bacterial aetiology. This disease process is often incidentally found during concomitant infectious processes, likely due to haematogenous spread. Common sources are from cardiac, genitourinary and gastroenterologic sources. CT imaging of the aorta is essential in identifying physiological changes\u2014wall thickness changes, ectasia and stenosis. We present a case of a female in her early 60s with a medical history of cardiomyopathy with heart failure and reduced ejection fraction, who was initially admitted for acute cholecystitis complicated by the development of gallstone pancreatitis. Imaging evaluation incidentally noted findings consistent with aortitis with a penetrating ulcer, and blood cultures were positive for <jats:italic>Staphylococcus aureus<\/jats:italic> bacteraemia, confirming her diagnosis of infectious aortitis. She was started on intravenous antibiotics, required preoperative nutritional optimisation, and subsequently underwent an open aortic resection and aortoiliac reconstruction with rifampin-soaked Dacron graft.<\/jats:p>","DOI":"10.1136\/bcr-2023-257509","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T14:22:42Z","timestamp":1711549362000},"page":"e257509","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Infectious aortitis and managing it at a community military hospital"],"prefix":"10.1136","volume":"17","author":[{"given":"Kelly","family":"Tang","sequence":"first","affiliation":[{"name":"General Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Ford","sequence":"additional","affiliation":[{"name":"General Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel L","family":"Grasso","sequence":"additional","affiliation":[{"name":"General Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Swisher","sequence":"additional","affiliation":[{"name":"General Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"key":"2025082707515314000_17.3.e257509.1","doi-asserted-by":"crossref","first-page":"1821","DOI":"10.1007\/s00270-020-02486-6","article-title":"Diagnosis and management of Aortitis","volume":"43","author":"Sharma","year":"2020","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025082707515314000_17.3.e257509.2","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.12230"},{"key":"2025082707515314000_17.3.e257509.3","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000022422","article-title":"A Strobe multicenter descriptive study of 55 infectious Aortitis","volume":"99","author":"Journeau","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"2025082707515314000_17.3.e257509.4","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2020-318085"},{"key":"2025082707515314000_17.3.e257509.5","doi-asserted-by":"crossref","first-page":"e1369","DOI":"10.1093\/cid\/ciac560","article-title":"Retrospective multicenter study comparing infectious and Noninfectious Aortitis","volume":"76","author":"Carrer","year":"2023","journal-title":"Clin Infect Dis"},{"key":"2025082707515314000_17.3.e257509.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.carpath.2015.05.001"},{"issue":"Suppl 1","key":"2025082707515314000_17.3.e257509.7","doi-asserted-by":"crossref","first-page":"S61","DOI":"10.21037\/cdt.2017.09.03","article-title":"Inflammatory and infectious aortic diseases","volume":"8","author":"Deipolyi","year":"2018","journal-title":"Cardiovasc Diagn Ther"},{"key":"2025082707515314000_17.3.e257509.8","doi-asserted-by":"crossref","unstructured":"Abdelazeem B , Kambalapalli S , Lahmar A , et al . Infectious Aortitis: Case Report and Literature Review. Cureus March 15, 2022. doi:10.7759\/cureus.23198","DOI":"10.7759\/cureus.23198"},{"key":"2025082707515314000_17.3.e257509.9","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001106"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-257509","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:51:59Z","timestamp":1756306319000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-257509"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3,27]]},"published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1136\/bcr-2023-257509"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-257509","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}