Aidan: /* Investigations */

2022-02-20T11:02:13Z

Investigations

← Older revision		Revision as of 11:02, 20 February 2022
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	* Based on a case series of 7 cases in France[[CiteRef::delaval2017ne]]:		* Based on a case series of 7 cases in France[[CiteRef::delaval2017ne]]:
	** TST should be positive		** [[TST]] should be positive
	** IGRA may be positive or indeterminate		** [[IGRA]] may be positive or indeterminate
	** CT chest may show lymphadenopathy or pulmonary/pleural tuberculosis, but can be normal		** CT chest may show lymphadenopathy or pulmonary/pleural tuberculosis, but can be normal
	** CTA shows aortic pseudoaneurysm in aortic or thoracic aorta, or both		** CTA shows aortic pseudoaneurysm in aortic or thoracic aorta, or both

Aidan: Created page with "== Background == * Aortitis caused by Mycobacterium tuberculosis * Rare, with only 41 cases described from 1945 to 1999CiteRef::long1999tu * Pathogenesis may be f..."

2022-02-20T11:01:45Z

Created page with "== Background == * Aortitis caused by Mycobacterium tuberculosis * Rare, with only 41 cases described from 1945 to 1999CiteRef::long1999tu * Pathogenesis may be f..."

New page

== Background ==

* [[Aortitis]] caused by [[Mycobacterium tuberculosis]]
* Rare, with only 41 cases described from 1945 to 1999[[CiteRef::long1999tu]]
* Pathogenesis may be from either:
** Contiguous spread from adjacent infection, such as [[tuberculous adenitis]] (more common)
** Hematogenous spread

== Clinical Manifestations ==

* Can be present in either thoracic and abdominal aorta, mostly saccular and false aneurysms
** Persistent chest, abdominal, or back pain
** Palpable, pulsatile paraaortic mass
* Often have constitutional symptoms (from active tuberculosis) as well as lymphadenopathy
* Disseminated TB in about half of cases
* Fatal if not diagnosed and treated

== Investigations ==

* Based on a case series of 7 cases in France[[CiteRef::delaval2017ne]]:
** TST should be positive
** IGRA may be positive or indeterminate
** CT chest may show lymphadenopathy or pulmonary/pleural tuberculosis, but can be normal
** CTA shows aortic pseudoaneurysm in aortic or thoracic aorta, or both

[[Category:Tuberculosis]]
[[Category:Endovascular infections]]

Tuberculous aortitis - Revision history

Aidan: /* Investigations */

Aidan: Created page with "== Background == * Aortitis caused by Mycobacterium tuberculosis * Rare, with only 41 cases described from 1945 to 1999CiteRef::long1999tu * Pathogenesis may be f..."