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 journalArticle

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
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

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Hematemesis
Infected Aneurysm
Ruptured Aneurysm
Salmonella Infections
Aortic Aneurysm
Delayed Diagnosis
Infection
Vomiting
Hospital Emergency Service
Early Diagnosis
Thorax
History
Tomography
Lung
Therapeutics

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

Cite this

Huang, W. K., Chen, F-C., Weng, T. H., Du, M. H., & Lam, C. (2010). Hematemesis, a Rare Sign of Aortic Infection. 中華民國急救加護醫學會雜誌, 21(2), 111-117.

Hematemesis, a Rare Sign of Aortic Infection. / Huang, Wei Kee; Chen, Fu-Chean; Weng, Tzu Hsuan; Du, Ming Hai; Lam, Carlos.

In: 中華民國急救加護醫學會雜誌, Vol. 21, No. 2, 2010, p. 111-117.

Research output: Contribution to journalArticle

Huang, WK, Chen, F-C, Weng, TH, Du, MH & Lam, C 2010, 'Hematemesis, a Rare Sign of Aortic Infection', 中華民國急救加護醫學會雜誌, vol. 21, no. 2, pp. 111-117.
Huang, Wei Kee ; Chen, Fu-Chean ; Weng, Tzu Hsuan ; Du, Ming Hai ; Lam, Carlos. / Hematemesis, a Rare Sign of Aortic Infection. In: 中華民國急救加護醫學會雜誌. 2010 ; Vol. 21, No. 2. pp. 111-117.
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