• Ann Vasc Surg · May 2000

    Case Reports

    Primary aortoduodenal fistula and Q fever: an underrecognized association?

    • A Mejia, B Toursarkissian, R T Hagino, J G Myers, and M T Sykes.
    • Department of Surgery, University of Texas Health Science Center at San Antonio, 78229, USA.
    • Ann Vasc Surg. 2000 May 1;14(3):271-3.

    AbstractWe report a rare case of primary aortoduodenal fistula (ADF) secondary to a Coxiella burnetii (Q fever) infection in a patient with an abdominal aortic aneurysm. A review of the available literature on the vascular complications of Q fever is presented. Q fever should be suspected in vascular patients with close animal contact when a standard infectious work-up is unrevealing. Diagnostic steps and management strategies for primary ADF are also briefly reviewed.

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