Hematemesis, a Rare Sign of Aortic Infection

Wei Kee Huang, Fu-Chean Chen, Tzu Hsuan Weng, Ming Hai Du, Carlos Lam

Research output: Contribution to journalArticlepeer-review

Abstract

Non-typhoid salmonella infection of a mycotic aortic aneurysm is rare, but it is fatal when diagnosis is delayed. The clinical presentation is often nonspecific and varies widely, with fryer being the initial common initial presentation. Early diagnosis requires a high level of alertness and a detailed history. We report a 77 year-old man who visited our emergency room with complaints of vomiting with blood content fir two days, with increasing severity. The chest radiographs showed infiltration of the paraaortic arch, left lung fields. A ruptured aneurysm was diagnosed only after contrast-enhanced computed tomography (CT) was performed. The patient received immediate surgical treatment and adequate preoperative and postoperative antimicrobial therapy
Translated title of the contribution吐血、罕見之主動脈細菌感染徵象的個案報告
Original languageEnglish
Pages (from-to)111-117
Number of pages7
Journal中華民國急救加護醫學會雜誌
Volume21
Issue number2
Publication statusPublished - 2010

Keywords

  • 吐血
  • 主動脈瘤
  • 非典型沙門氏桿菌感染
  • hematemesis
  • mycotic aortic aneurysm
  • non-typhoid salmonella infection

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