TITLE

Mycotic aortic aneurysm probably caused by a pleural empyema

AUTHOR(S)
Braun, G. S.; Siegert, S.; Dendorfer, U.; Rieger, J.; Marlow, S.; Schmid, H.
PUB. DATE
June 2005
SOURCE
Thorax;Jun2005, Vol. 60 Issue 6, p524
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
The article presents a case study of a patient suffering from mycotic aortic aneurysm probably caused by a pleural empyema. A 53 year old man was admitted with dyspnoea. A chest radiograph and CT scan suggested bilateral encapsulated pleural empyema. Pleural puncture produced a massive purulent discharge which grew Streptococcus pneumoniae, confirming the diagnosis. The CT scan also showed an enlarged diameter of the thoracic aorta near the diaphragm. After starting treatment with antibiotics and pleural drainage with flushing, the patient improved rapidly until day 4 when he experienced sudden dyspnoea and had a fatal respiratory and circulatory arrest.
ACCESSION #
17359846

 

Related Articles

  • Gigantic Pulmonary Arteries. Reichenberger, F.; Brant, Jonathan // New England Journal of Medicine;9/18/2003, Vol. 349 Issue 12, p1148 

    Presents x-ray film and magnetic resonance imaging images of the chest of a 49-year-old woman who presented with a 12-month history of progressive exertional dyspnea and hoarseness. Diagnosis 22 years earlier of primary pulmonary hypertension; Treatment history; Current x-ray presentation...

  • Thinking outside the (check) box. Thompson Shoults, Katherine // British Columbia Medical Journal;Nov2013, Vol. 55 Issue 9, p418 

    A personal narrative is presented which explores the author's experience of diagnosing a patient who presented with a bruit.

  • Reversible restrictive lung disease stimulating asthma. Hudgel, David W.; Cooper, David; Souhrada, Joseph; Hudgel, D W; Cooper, D; Souhrada, J // Annals of Internal Medicine;Sep76, Vol. 85 Issue 3, p328 

    A young adult woman presented with spontaneous and exercise-induced episodic dyspnea without wheezing. During dyspneic episodes all static lung volumes decreased markedly, the inspiratory capacity fell from 3.0 to 1.1 litres and total lung capacity from 5.3 to 2.6 litres. Airway resistance (Raw)...

  • Obstructed right pulmonary venous drainage and ipsilateral lung hypoplasia. Villa, Emmanuel; Le Bret, Emmanuel; Batisse, Alain; VouhĂ©, Pascal // European Journal of Cardio-Thoracic Surgery;May2004, Vol. 25 Issue 5, p899 

    A case of right lung hypoplasia and dyspnea, presented at our institution for cardiac evaluation, is described. Clinical evaluation and instrumental findings of normally connected but completely obstructed right pulmonary venous drainage have led us to diagnose an exceptional variant of subtotal...

  • An Inflammatory Abdominal Aortic Aneurysm Presenting with Acute Dissection of the Descending Thoracic Aorta. Ono, Takuya; Endo, Takao; Saitoh, Hirokazu; Tomita, Yoshifumi; Hayakawa, Hirokazu; Ikeshita, Masatoshi; Tanaka, Shigeo // Vascular Surgery;Sep1994, Vol. 28 Issue 7, p495 

    A sixty-five-year-old woman had an inflammatory abdominal aortic aneurysm that was complicated by acute dissection of the descending thoracic aorta. The authors emphasize the diagnostic value of dynamic computed tomographic scanning in inflammatory aneurysms and discuss the possible mechanisms...

  • Primary sarcoma of an abdominal aortic aneurysm. Defawe, O. D.; Thiry, A.; Lapiere, C. M.; Limet, R.; Sakalihasan, N. // Abdominal Imaging;Jan/Feb2006, Vol. 31 Issue 1, p117 

    Primary tumors of the aorta are extremely rare and the diagnosis is made most often after surgery or autopsy. Because clinical symptoms of abdominal sarcoma are similar to those of occlusive or aneurysmal disease, aortic sarcomas are frequently mistaken for these lesions. The imaging findings...

  • Bronchopleurocutaneous fistula in absence of empyema: A rare presentation of pulmonary tuberculosis. Siddiqui, M. Azfar; Shameem, Mohammad; Akhtar, Jamal; Baneen, Ummul; Bhargava, Rakesh; Ahmed, Zuber; Sharma, Prakhar; Khan, Nafees Ahmad // Lung India;Jan-Mar2011, Vol. 28 Issue 1, p72 

    The article reports on the case of a 60 year-old male who has fever and cough with pus discharging sinus on the anterolateral aspect of the right side chest wall. In the respiratory examination, crepts were seen in the bilateral lung fields and culture for sputum was positive for acid fast...

  • Severe Legionella pneumophila pneumonia associated with the public bath on a cruise ship in Japan. Kobayashi, Atsuko; Yamamoto, Yoshifumi; Chou, Sumito; Hashimoto, Satoru // Journal of Anesthesia;2004, Vol. 18 Issue 2, p129 

    Reports on a case of a 70-year-old Japanese man with symptom of severe dyspnea. Contamination of the bathing facilities in Japan with Legionella pneumophila; Medical history of the patient; Discussion on Legionella pneumophila which causes dyspnea.

  • Respiratory resistance of patients during cardiac stress testing with adenosine: Is dyspnea a sign of bronchospasm? Fricke, Eva; Esdorn, Elke; Kammeier, Annett; Fricke, Harald; Preuss, Rainer; Burchert, Wolfgang; Lindner, Oliver // Journal of Nuclear Cardiology;Jan2008, Vol. 15 Issue 1, p94 

    Background: Adenosine is widely used for stress-testing in myocardial perfusion imaging. During adenosine infusion, dyspnea is one of the main complaints of patients. The aim of this study was to determine whether dyspnea during adenosine infusion is caused by bronchospasm. Methods: Fifty-four...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics