Mycotic Aneurysm Manifesting with Life-threatening Hemoptysis-A Case Report and Literature Review

洪 文岳(Wen-Yueh Hung), 陳 復銓(Fu-Chean Chen), 余 明治(Ming-Chih Yu), 張 哲華(Jer-Hwa Chang), 許 翰琳(Han-Lin Hsu), 白 冠壬(Kuan-Jen Bai)

Research output: Contribution to journalArticle

Abstract

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
Original languageEnglish
Pages (from-to)266-273
Number of pages8
Journal胸腔醫學
Volume24
Issue number5
Publication statusPublished - 2009

Keywords

  • 感染性血管瘤
  • 咳血
  • mycotic aneurysm
  • hemoptysis

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