ArticleEuropean journal of case reports in internal medicine2025
A Case of Pneumococcal Periaortitis: Periaortitis is not Always Autoimmune.
Article in European journal of case reports in internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Periaortitis is a rare inflammatory condition with both infectious and non-infectious aetiologies, often presenting a diagnostic challenge. A comprehensive evaluation-including history, physical examination, imaging, and a broad infectious work-up-is essential, as negative blood cultures do not rule out infection, and premature use of glucocorticoids may be harmful in cases of infectious periaortitis. Case description: We report the case of a 70-year-old man presenting with flank pain and periaortitis, in whom positron emission tomography/computed tomography (PET/CT) scan revealed moderate-to-severe Discussion: Pneumococcal periaortitis is a rare condition with few reported cases, though Conclusion: Infectious periaortitis should be suspected when there is a high uptake of FDG on PET/CT prompting an infectious disease work-up which may include a Karius test. LEARNING POINTS: Periaortitis may have an autoimmune aetiology; however, an infectious cause should always be considered, particularly when there is high
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