Infectious aortic aneurysms: A case report and review of cases from the Middle East and North Africa (MENA) region

•In patients with aortitis, infectious etiology is uncommon.•Computed tomography angiography aids in delineating infectious aortic aneurysms.•Favorable outcomes of infectious aortic aneurysm cases were reported from the Middle East. An infectious aortic aneurysm is a rare disease entity. We report a challenging case of a 29-year-old male presenting with chest pain and constitutional symptoms. The patient was found to have three pseudoaneurysms of the aorta on imaging, significant pathological findings of necrotizing granulomatous lymphadenitis from a supraclavicular lymph node biopsy, and a highly suggestive clinical picture of tuberculous aortitis. He was referred to vascular surgery for intervention and discharged on antituberculous therapy for 6 months. To the best of our knowledge, only five cases of tuberculous aortic aneurysms have been reported from the Middle East and North Africa (MENA) region, all with favorable outcomes. A high index of suspicion, early detection, and prompt intervention are essential in managing such cases.