Table.
Data for cases | |
---|---|
Demographic | |
Mean age (years; SD, range) | 42.9 (17.2;11.0–78.0) |
Sex | |
Men | 30 (80%) |
Women | 4 (12%) |
Geographical origin | |
Turkey | 6 |
USA | 5 |
Saudi Arabia | 4 |
Spain | 3 |
Italy | 3 |
Mexico | 2 |
Iran | 2 |
France | 2 |
Portugal | 1 |
Corsica | 1 |
Morocco | 1 |
Poland | 1 |
Korea | 1 |
Greece | 1 |
Macedonia | 1 |
Exposure history | |
Any | 25 (74%) |
Occupational | 14 (41%) |
Ingestion of unpasteurized dairy products | 10 (29%) |
Travel to endemic regions | 4 (12%) |
Non-occupational contact with animals | 2 (6%) |
Comorbid conditions | |
Any | 14 (41%) |
Atherosclerotic heart disease | 6 (18%) |
Hypertension | 4 (12%) |
Rheumatic fever | 3 (9%) |
Smoker | 2 (6%) |
Diabetes | 1 (3%) |
Subaortic membrane | 1 (3%) |
Presentation | |
Vessel involvement | |
Aorta | 23 (68%) |
Aortic aneurysm | 18 (53%) |
Aortic root abscess | 4 (12%) |
Aortic thrombus | 1 (3%) |
Lower extremity vessel | 6 (18%) |
Femoral artery thrombus | 1 (3%) |
Femoral artery aneurysm | 2 (6%) |
Popliteal artery aneurysm | 2 (6%) |
Posterior tibial/peroneal artery aneurysms | 1 (3%) |
Upper extremity vessel | 3 (9%) |
Radial artery aneurysm | 1 (3%) |
Brachial artery aneurysm | 1 (3%) |
Subclavian artery thrombus | 1 (3%) |
Carotid aneurysm | 1 (3%) |
Superior mesenteric artery aneurysm | 2 (6%) |
Presenting symptoms | |
Warmth/subjective fever | 16 (47%) |
Abdominal pain | 10 (29%) |
Back pain | 9 (26%) |
Weight loss | 10 (29%) |
Diaphoresis | 8 (24%) |
Arthralgias | 6 (18%) |
Malaise | 6 (18%) |
Chills | 4 (12%) |
Dyspnoea on exertion | 4 (12%) |
Chest pain | 2 (6%) |
Abnormal findings at physical examination | |
Heart murmur | 15 (44%) |
Hepatosplenomegaly | 10 (29%) |
Pulsatile mass | 7 (21%) |
Absent distal pulse | 6 (18%) |
Neurological findings (weakness, decreased reflexes) | 4 (12%) |
Skin rash | 2 (6%) |
Temperature, geometric mean (°C; SD, range) | 38·2 (0·78, 37·0–39·5) |
Mean white blood cell count 103 per μL (SD, range) | 7.1 (3.7, 3·1–16.7) |
Mean haemoglobin g/L (SD, range) | 100 (22, 60–138) |
Mean ESR mm/h (SD, range) | 53.7 (31.6, 6.0–120.0) |
Data are number (%), unless otherwise indicated. ESR=erythrocyte sedimentation rate. The “any” category under exposure history and comorbid condition refers to the number of cases in which this history was provided in the case presentation. Cases might have had more than one exposure history or comorbid condition. Therefore, the numbers do not necessarily add up to 34.