Tuberculous Aortitis Complicated with Pseudoaneurysm Formation in the Descending Thoracic Aorta: A Case Report

Seo, Dong Ju; Kim, Joon Bum

doi:10.5090/kjtcs.2012.45.6.408

Cited by 10 publications

(4 citation statements)

References 5 publications

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“…A review of the English literature from 2008 to today revealed 28 more cases (Table 1) [3], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], specifically 18 men and 10 women with a mean age of 44.64 ± 18.16 years (range 16–84). 7 patients had a history of pulmonary tuberculosis and had previously received anti-tuberculosis medication.…”

Section: Discussionmentioning

confidence: 99%

Miliary tuberculosis in a patient with tuberculous mycotic aneurysm of the abdominal aorta: Case report and review of the literature

Manika

Efthymiou

Damianidis

et al. 2017

Respiratory Medicine Case Reports

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The combination of miliary tuberculosis and tuberculous mycotic aneurysm has been described in the literature. We present the case of an 84-year-old man who was diagnosed with a mycotic aneurysm of the abdominal aorta and an adjacent soft tissue mass, after a 3- month history of fever. The patient underwent endovascular restoration of the aneurysm and was treated with broad-spectrum antibiotics. One and a half months later the fever relapsed and the chest CT scan revealed findings consistent with miliary tuberculosis and opacities of both upper lobes not present before, while the abdominal CT scan revealed an increase in the size of the para-aortic mass. Tuberculosis was documented by positive culture for M. tuberculosis of bronchial washing and by the CT-guided para-aortic mass biopsy. The patient received anti-TB treatment for 9 months leading to a spectacular improvement of his clinical condition and imaging findings. A review of the literature since 2008 revealed 28 more cases of tuberculous mycotic aneurysm. The treatment and outcome of all cases are described. Mycotic aneurysm of tuberculous etiology remains a reality and has a relatively good prognosis. Although miliary tuberculosis affects mortality even elderly patients may benefit from “aggressive” management and treatment.

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Section: Discussionmentioning

confidence: 99%

Miliary tuberculosis in a patient with tuberculous mycotic aneurysm of the abdominal aorta: Case report and review of the literature

Manika

Efthymiou

Damianidis

et al. 2017

Respiratory Medicine Case Reports

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“…Lung window revealed multiple centrilobular and "tree-in-bud' nodules along with minimal pericar- Based on clinical and imaging features the possibility of tuberculous aortitis was considered. Tuberculous aortitis is extremely rare and is usually secondary to local infiltration (mediastinal lymph adenopathy or vertebral cold abscess) or haematogenous spread (unlikely) [10]. Pseudoaneurysm develops secondary to infective aortitis causing weakening of the aortic wall.…”

Section: Tuberculous Aortitismentioning

confidence: 99%

Unusual manifestations of extra-pulmonary tuberculosis: a pictorial essay

Elango¹,

Prema²,

Vijayakumar³

et al. 2022

Pol J Radiol

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Purpose:Tuberculosis is quite common in India. About 40% of all Indians are infected with mycobacterium tuberculosis, with 2.5 million active tuberculosis cases. Tuberculosis primarily affects the lungs, but it can affect any organ. Extra-pulmonary involvement occurs 15-20% of cases in immune-competent patients and in more than 50% in HIV patients. The most common extra-pulmonary sites are lymph nodes, pleura, abdomen, genitourinary tract, skin, joints and bones, or meninges. Case reports:In this pictorial review article we present 8 atypical cases of tuberculosis and describe their imaging features and histopathology.Conclusions: Extra-pulmonary tuberculosis can affect virtually any organ and can mimic various inflammatory and neoplastic disorders apart from other infective conditions. A strong index of suspicion is required particularly in those countries endemic to tuberculosis.

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“…Tuberculous aortitis occurs in less than 1% of patients with latent tuberculosis, but mortality rates are as high as 60%. The high mortality associated with this disease is related to the perforation of the pseudoaneurysm into the adjacent organs, causing fatal extravasation [6,8]. Tuberculous aortic aneurysm can develop despite anti-tuberculous medication, probably due to poor drug penetration into caseous necrotic tissue.…”

Section: Tuberculous Aortitismentioning

confidence: 99%

“…Tuberculous aortic aneurysm can develop despite anti-tuberculous medication, probably due to poor drug penetration into caseous necrotic tissue. Therefore, combination medical and surgical approaches are required for successful management [8,9].…”

Section: Tuberculous Aortitismentioning

confidence: 99%

Imaging Forum in Cardiovascular Disease of the Korean Society of Cardiovascular Imaging

Kim

Lee

Kim

et al. 2017

Cardiovasc Imaging Asia

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The Korean Society of Cardiovascular Imaging (KOSCI) has held monthly imaging forums for the last 20 years. In this note from the KOSCI, we are presenting 4 interesting cases selected from the cases discussed in the KOSCI monthly imaging forums in 2016. The cases are examples of syphilic aortitis, tuberculous aortitis, primary aortic intimal sarcoma, and solitary fibrous tumor of the pericardium. Through the monthly imaging forums, members can share their experiences with one another. The discussions involving rare diseases and their imaging findings enhance our ability to make proper diagnosis in clinical practice and provide ideas for new research topics. We want to share these opportunities with the readers of CVIA.

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Tuberculous Aortitis Complicated with Pseudoaneurysm Formation in the Descending Thoracic Aorta: A Case Report

Cited by 10 publications

References 5 publications

Miliary tuberculosis in a patient with tuberculous mycotic aneurysm of the abdominal aorta: Case report and review of the literature

Miliary tuberculosis in a patient with tuberculous mycotic aneurysm of the abdominal aorta: Case report and review of the literature

Unusual manifestations of extra-pulmonary tuberculosis: a pictorial essay

Imaging Forum in Cardiovascular Disease of the Korean Society of Cardiovascular Imaging

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