Mycotic aortic aneurysm probably caused by a pleural empyema

Braun, G. S.; Siegert, S.; Dendorfer, U.; Rieger, J.; Marlow, S.; Schmid, H.
June 2005
Thorax;Jun2005, Vol. 60 Issue 6, p524
Academic Journal
journal article
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.


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