世界急诊医学杂志(英文) ›› 2013, Vol. 4 ›› Issue (2): 154-156.doi: 10.5847/wjem.j.issn.1920-8642.2013.02.013
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Paul Chun Yih Lim1(), Jean Mui Hua Lee2, Yeow Leng Chua1, Stanley Chia1
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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 negativeStaphylococcus 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.
Key words: Aneurysm, Aortic diseases, Endovascular stent, Infected/microbiology, Staphalococcus aureus
. [J]. 世界急诊医学杂志(英文), 2013, 4(2): 154-156.
Paul Chun Yih Lim, Jean Mui Hua Lee, Yeow Leng Chua, Stanley Chia. Staphylococcal thoracic aortitis complicated by aortic dissection[J]. World Journal of Emergency Medicine, 2013, 4(2): 154-156.
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http://wjem.com.cn//CN/Y2013/V4/I2/154