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An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis

Infected thoracic aneurysms are a rare and potentially life-threatening condition that present with non-specific symptoms. We describe here a case of an 83-year-old female who presented to the emergency department with the chief complaint of vomiting blood. The patient had presented to the emergency...

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Autores principales: Sasaki, Hideki, Numata, Yukihide, Kamiya, Shinji, Sone, Yoshiaki, Sasaki, Osamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10356179/
https://www.ncbi.nlm.nih.gov/pubmed/37476141
http://dx.doi.org/10.7759/cureus.40654
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author Sasaki, Hideki
Numata, Yukihide
Kamiya, Shinji
Sone, Yoshiaki
Sasaki, Osamu
author_facet Sasaki, Hideki
Numata, Yukihide
Kamiya, Shinji
Sone, Yoshiaki
Sasaki, Osamu
author_sort Sasaki, Hideki
collection PubMed
description Infected thoracic aneurysms are a rare and potentially life-threatening condition that present with non-specific symptoms. We describe here a case of an 83-year-old female who presented to the emergency department with the chief complaint of vomiting blood. The patient had presented to the emergency department 40 days earlier with abdominal pain, fever, and leukocytosis. She had a medical history of traumatic liver injury resulting in bile duct stenosis, necessitating percutaneous transhepatic gallbladder drainage and subsequent bile duct-jejunal anastomosis 25 years ago. Emergency contrast-enhanced computed tomography (CT) revealed an irregular distal arch aneurysm. According to the patient’s present symptoms, CT findings, and medical history, infected thoracic aneurysm was suspected. Total arch replacement was performed promptly, followed by thorough antibiotic therapy. Following successful treatment, the patient’s condition stabilized, and she was transferred to a rehabilitation facility for further recovery.
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spelling pubmed-103561792023-07-20 An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis Sasaki, Hideki Numata, Yukihide Kamiya, Shinji Sone, Yoshiaki Sasaki, Osamu Cureus Cardiac/Thoracic/Vascular Surgery Infected thoracic aneurysms are a rare and potentially life-threatening condition that present with non-specific symptoms. We describe here a case of an 83-year-old female who presented to the emergency department with the chief complaint of vomiting blood. The patient had presented to the emergency department 40 days earlier with abdominal pain, fever, and leukocytosis. She had a medical history of traumatic liver injury resulting in bile duct stenosis, necessitating percutaneous transhepatic gallbladder drainage and subsequent bile duct-jejunal anastomosis 25 years ago. Emergency contrast-enhanced computed tomography (CT) revealed an irregular distal arch aneurysm. According to the patient’s present symptoms, CT findings, and medical history, infected thoracic aneurysm was suspected. Total arch replacement was performed promptly, followed by thorough antibiotic therapy. Following successful treatment, the patient’s condition stabilized, and she was transferred to a rehabilitation facility for further recovery. Cureus 2023-06-19 /pmc/articles/PMC10356179/ /pubmed/37476141 http://dx.doi.org/10.7759/cureus.40654 Text en Copyright © 2023, Sasaki et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Sasaki, Hideki
Numata, Yukihide
Kamiya, Shinji
Sone, Yoshiaki
Sasaki, Osamu
An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis
title An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis
title_full An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis
title_fullStr An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis
title_full_unstemmed An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis
title_short An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis
title_sort escherichia coli-induced distal arch aneurysm presenting with hemoptysis
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10356179/
https://www.ncbi.nlm.nih.gov/pubmed/37476141
http://dx.doi.org/10.7759/cureus.40654
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