Emergency Radiology

, Volume 18, Issue 4, pp 335–343 | Cite as

Borne identity: CT imaging of vascular infections

  • Jessica S. HuangEmail author
  • Alexander S. Ho
  • Absar Ahmed
  • Sanjeev Bhalla
  • Christine O. Menias
Pictorial Essay


Vascular infections present in a multitude of ways with computed tomography (CT) aiding in the diagnosis of many of the uncommon vascular infections, which are equally dangerous and carry severe life-threatening consequences if untreated from a delay in diagnosis. This pictorial review aims to discuss and illustrate the CT findings of the following vascular infections including aortitis, mycotic aneurysms, infective endocarditis, septic thrombophlebitis in the chest and abdomen, and Kawasaki disease. Recognition and prompt diagnosis of these uncommon vascular infections are critical to the initiation of the appropriate management and therapy.


Vascular infections Aortitis Mycotic aneurysm Infective endocarditis Septic thrombophlebitis Kawasaki disease Computed tomography 


  1. 1.
    Lee WK, Mossop PJ, Little AF, Fitt GJ, Vrazas JI, Hoang JK, Hennessy OF (2008) Infected (mycotic) aneurysms: spectrum of imaging appearances and management. Radiographics 28:1853–1868PubMedCrossRefGoogle Scholar
  2. 2.
    Rakita D, Newatia A, Hines JJ, Siegel DN, Friedman B (2007) Spectrum of CT findings in rupture and impending rupture of abdominal aortic aneurysms. Radiographics 27:497–507PubMedCrossRefGoogle Scholar
  3. 3.
    Macedo TA, Stanson AW, Oderich GS, Johnson CM, Panneton JM, Tie ML (2004) Infected aortic aneurysms: imaging findings. Radiology 231:250–257PubMedCrossRefGoogle Scholar
  4. 4.
    Fellah L, Waignein F, Wittebole X, Coche E (2007) Combined assessment of tricuspid valve endocarditis and pulmonary septic embolism with ECG-Gated 40-MDCT of the whole chest. AJR 189:W228–W230PubMedCrossRefGoogle Scholar
  5. 5.
    Durante-Mangoni E et al (2008) Current features of infective endocarditis in elderly patients. Arch Intern Med 168(19):2095–2103PubMedCrossRefGoogle Scholar
  6. 6.
    Manghat NE, Rachapalli V, Van Lingen R, Veitch AM, Roobottom CA, Morgan-Hughes GJ (2008) Imaging the heart valves using ECG-gated 64-detector row cardiac CT. Br J Radiol 81:275–290PubMedCrossRefGoogle Scholar
  7. 7.
    Feuchtner GM et al (2009) Multislice computed tomography in infective endocarditis. J Am Coll Cardiol 53:436–444PubMedCrossRefGoogle Scholar
  8. 8.
    Kwon JW, Jeong YJ, Kim KI, Lee IS, Jeon UB, Lee SH, Kim YD (2007) Computed tomographic features of pulmonary septic emboli: comparison of causative microorganisms. J Comput Assist Tomogr 31:390–394PubMedCrossRefGoogle Scholar
  9. 9.
    Screaton NJ, Ravenel JG, Lehner PJ, Heitzman ER, Flower CD (1999) Lemierre syndrome: forgotten but not extinct—report of four cases. Radiology 213:369–374PubMedGoogle Scholar
  10. 10.
    Balthazar EJ, Gollapudi P (2000) Septic thrombophlebitis of the mesenteric and portal veins: CT imaging. J Comput Assist Tomogr 24(5):755–760PubMedCrossRefGoogle Scholar
  11. 11.
    Twickler DM, Setiawan AT, Evans RS, Erdman WA, Stettler RW, Brown CEL, Cunningham FG (1997) Imaging of puerperal septic thrombophlebitis: prospective comparison of MR imaging, CT and sonography. Am J Roentgenol 169:1039–1043Google Scholar
  12. 12.
    Menias CO, Elsayes KM, Peterson CM, Huete A, Gratz BI, Bhalla S (2007) CT of pregnancy-related complications. Emerg Radiol 13(6):299–306PubMedCrossRefGoogle Scholar
  13. 13.
    Chung CJ, Stein L (1998) Kawasaki disease: a review. Radiology 208:25–33PubMedGoogle Scholar
  14. 14.
    Newburger JW et al (2004) Diagnosis, treatment and long-term management of Kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis, and Kawasaki disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics 114(6):1708–1733PubMedCrossRefGoogle Scholar
  15. 15.
    Vu QD, Menias CO, Bhalla S, Peterson C, Wang LL, Balfe DM (2009) Aortoenteric fistulas: CT features and potential mimics. Radiographics 29(1):197–209PubMedCrossRefGoogle Scholar
  16. 16.
    Rucker CM, Menias CO, Bhalla S, Geraghty P, Heiken J (2004) Clostridium septicum infrarenal aortitis secondary to occult cecal adenocarcinoma. AJR Am J Roentgenol 183(5):1316PubMedGoogle Scholar

Copyright information

© Am Soc Emergency Radiol 2011

Authors and Affiliations

  • Jessica S. Huang
    • 1
    Email author
  • Alexander S. Ho
    • 1
  • Absar Ahmed
    • 1
  • Sanjeev Bhalla
    • 1
  • Christine O. Menias
    • 1
  1. 1.Mallinckrodt Institute of RadiologyWashington University School of MedicineSaint LouisUSA

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