Document Detail

Expanding the differential diagnosis of hemoptysis: mycotic aortic aneurysms.
MedLine Citation:
PMID:  12949444     Owner:  NLM     Status:  MEDLINE    
The differential diagnosis of hemoptysis includes a wide spectrum of infectious, autoimmune, and neoplastic diseases as well as chest trauma. The clinical presentation of a mycotic aortic aneurysm is often nonspecific, but mortality is high, especially after aneurysmal rupture. A high index of suspicion is warranted in any patient presenting with hemoptysis and a recent past history of subacute bacterial endocarditis, intravascular interventions, known aortic aneurysm, and/or immunocompromised state. A case report is presented of a patient with an ascending aortic mycotic aneurysm eroding into the adjacent lung, leading to chest pain, dyspnea, and hemoptysis. This case report provides an important lesson of the need to expand the differential
James N Kirkpatrick; Melinda Ring; Roberto M Lang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Reviews in cardiovascular medicine     Volume:  4     ISSN:  1530-6550     ISO Abbreviation:  Rev Cardiovasc Med     Publication Date:  2003  
Date Detail:
Created Date:  2003-09-01     Completed Date:  2003-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100960007     Medline TA:  Rev Cardiovasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  180-3     Citation Subset:  IM    
Section of Cardiology, University of Chicago Medical Center, Chicago, Illinois, USA.
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MeSH Terms
Aneurysm, Infected / complications,  diagnosis*,  microbiology
Aortic Rupture / complications,  diagnosis*
Diagnosis, Differential
Fatal Outcome
Hemoptysis / etiology*
Methicillin Resistance
Staphylococcal Infections / complications,  diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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