Staphylococcal thoracic aortitis complicated by aortic dissection / 世界急诊医学杂志(英文)
World Journal of Emergency Medicine
;
(4): 154-156, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-789614
ABSTRACT
@#BACKGROUND:
The diagnosis of aortitis is often delayed as symptoms are largely non-specific. We report a case of Staphylococcal thoracic aortitis in a 73-year-old Chinese woman complicated by aortic dissection.METHODS:
The patient presented with pyrexia of unknown origin, and a contrast enhanced computed tomography aortogram revealed a large thrombus at the anterior aspect of the ascending aorta with two large ulcerations as a result of a chronic type A aortic dissection. A hemiarch replacement with a 28 mm Gleweave Vascutek graft was performed with resuspension of aortic valve commisures. Aortic thrombus cultures were positive for coagulase negative Staphylococcus aureaus, and histology showed chronic dissection of the aorta.RESULTS:
The patient was treated with intravenous cefazolin for a 6-week duration and made good progress.CONCLUSIONS:
This case highlights Staphylococcal infective aortitis complicated by dissection presenting as fever of unknown origin. Timely diagnosis is essential as progression to catastrophic rupture may occur.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Idioma:
Inglés
Revista:
World Journal of Emergency Medicine
Año:
2013
Tipo del documento:
Artículo
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