Fiebre de origen desconocido y disección aórtica

Otero, B. de Rivas; Cebrián, Miguel Cid; Cubero, L. López

doi:10.1016/s0014-2565(03)71339-3

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2009

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“…5 In a collective review, Gorospe and colleagues found 23 such cases, including their own case presentation. 6 Moreover, 12 more cases have been reported in the world literature, 4,[7][8][9][10][11][12][13][14][15][16][17] with an oldest patient being 81 years at onset, 15 and a highest fever up to 39.5uC. 16 Chronic systemic hypertension is a predisposing factor in 60 to 75% of patients with aortic dissection.…”

Section: Discussionmentioning

confidence: 99%

Fever of Unknown Origin as a Primary Presentation of Chronic Aortic Dissection

2009

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Fever of unknown origin is rare as a primary presentation of aortic dissection. We describe a 69-year-old female presenting with a sustained fever. A diagnosis of chronic type A aortic dissection was established by computed tomography. Replacements of the ascending aorta and part of the aortic arch were performed. Ten days after the operation, the patient had recurrent pyrexia. A large effusion in the left pleural cavity was found. After puncture aspiration and antibiotic treatment, she recovered. She was doing well at the 5(1/2)-year follow-up.

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