Yuan-Hung Wang1, Ruei-Lin Wang1, Kun-Lin Wu1,2, Chung-Chi Yang1* and Po-Jen Hsiao1,2*
1Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan 2Department of Internal Medicine, Tri-Service General Hospital, TaiwanFulltext PDF
Infectious aortitis can cause life-threatening complications in clinical practice. Here in, we present an educational case of Infectious aortitis with Methicillin-Resistant Staphylococcus aureus (MRSA) bacteremia in a Woman. The 83-year-old woman presented intermittent fever for 1 week. Her temperature was 38.5°C, and chest X-ray demonstrated tortuosity of aorta with calcification of aortic arch. Her blood cultures subsequently all grew Methicillin-Resistant Staphylococcus aureus (MRSA). Echocardiography revealed no vegetation. The symptoms of chest tightness and shortness of breath were noted. A follow-up chest X-ray showed progressive mediastinal widening. Contrast enhanced Computed Tomography (CT) scan demonstrated thickening of the wall of descending aorta that measured 0.7 cm, suggestive of aortitis with intramural hematoma.
Infectious aortitis; Bacteremia; CT; Staphylococcus aureus
Wang Y-H, Wang R-L, Wu K-L, Yang C-C, Hsiao P-J. Life-Threatening Infectious Aortitis with MethicillinResistant Staphylococcus aureus (MRSA) Bacteremia in a Woman with Type 2 Diabetes Mellitus. Ann Clin Case Rep. 2020; 5: 1868.