Although hemoptysis frequently occurs in a broad spectrum of diseases, hemoptysis caused by an aortic mycotic aneurysm with aortobronchial fistula is rare and seldom reported. A 77-year-old man visited our institution with fever, widened mediastinum, and massive hemoptysis; the chest images suggested a descending mycotic aortic aneurysm. An emergent operation revealed a penetrated aneurysm with adhesion to the lung parenchyma; aneurysmal resection and graft reconstruction was performed. Both the resected tissue and sputum culture grew a group D2 Salmonella strain. Six months after discontinuation of antibiotics, the patient was well without evidence of inflammation. This case is a reminder for clinicians to be alert for this rare entity when dealing with a febrile patient with hemoptysis, because the immediate implementation of management may enable the patient to survive.
|Translated title of the contribution||以致命性咳血爲主要症狀之感染性動脈瘤－一個病例報告及文獻回顧|
|Number of pages||8|
|Publication status||Published - 2009|
- mycotic aneurysm
洪文岳(Wen-Yueh H, 陳復銓(Fu-Chean C, 余明治(Ming-Chih Y, 張哲華(Jer-Hwa C, 許翰琳(Han-Lin H, & 白冠壬(Kuan-Jen B (2009). Mycotic Aneurysm Manifesting with Life-threatening Hemoptysis-A Case Report and Literature Review. 胸腔醫學, 24(5), 266-273. http://www.AiritiLibrary.com/Publication/Index/10239855-200910-24-5-266-273-a