# Early Diagnosis and Successful Treatment of Infectious Aortitis in a Hemodialysis Patient Through Physical Examination and Imaging

## TL;DR

A hemodialysis patient with infectious aortitis was diagnosed early through physical exams and imaging, but eventually required surgery after an aneurysm formed.

## Contribution

This case emphasizes the importance of frequent imaging follow-up in infectious aortitis to detect aneurysmal changes early.

## Key findings

- Prompt antibiotic treatment initially controlled infection in a pre-aneurysmal infectious aortitis case.
- Aneurysmal transformation occurred despite apparent clinical stability, requiring surgical intervention.
- Frequent imaging is essential for monitoring infectious aortitis to detect aneurysm progression.

## Abstract

Infectious aortitis is rarely diagnosed before it becomes an infectious aortic aneurysm, and its optimal management remains less well established compared to that of infectious aortic aneurysms. We report a case of pre-aneurysmal infectious aortitis in a patient undergoing maintenance hemodialysis who presented with fever. Antibiotics were promptly initiated upon diagnosis, and the clinical course initially suggested good infection control. However, aneurysmal transformation eventually occurred, necessitating surgical intervention. This case highlights that, even in the absence of apparent clinical deterioration under antibiotics, aneurysm formation may still progress in cases of infectious aortitis. Therefore, careful and frequent imaging follow-up is essential for the early detection of aneurysmal changes.