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

Fingerprint

Infected Aneurysm
Hemoptysis
Aortic Aneurysm
Fever
Mediastinum
Sputum
Salmonella
Fistula
Aneurysm
Thorax
Anti-Bacterial Agents
Inflammation
Transplants
Lung

Keywords

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

Cite this

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.

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).

In: 胸腔醫學, Vol. 24, No. 5, 2009, p. 266-273.

Research output: Contribution to journalArticle

洪文岳(Wen-YuehH, 陳復銓(Fu-CheanC, 余明治(Ming-ChihY, 張哲華(Jer-HwaC, 許翰琳(Han-LinH & 白冠壬(Kuan-JenB 2009, 'Mycotic Aneurysm Manifesting with Life-threatening Hemoptysis-A Case Report and Literature Review', 胸腔醫學, vol. 24, no. 5, pp. 266-273.
洪文岳(Wen-YuehH, 陳復銓(Fu-CheanC, 余明治(Ming-ChihY, 張哲華(Jer-HwaC, 許翰琳(Han-LinH, 白冠壬(Kuan-JenB. Mycotic Aneurysm Manifesting with Life-threatening Hemoptysis-A Case Report and Literature Review. 胸腔醫學. 2009;24(5):266-273.
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). / Mycotic Aneurysm Manifesting with Life-threatening Hemoptysis-A Case Report and Literature Review. In: 胸腔醫學. 2009 ; Vol. 24, No. 5. pp. 266-273.
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