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A Case of Tuberculosis Presented with Pseudoaneurysm of the Aorta and Acute Respiratory Distress Syndrome  

Lee, Eung-Jun (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Cho, Han-Su (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Yoon, Hyun-Sung (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Lee, Jung-Hyun (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Lee, Tae Hoon (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Yoo, Kwang Ha (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Lee, Kye Young (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Kim, Sun Jong (Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University)
Publication Information
Tuberculosis and Respiratory Diseases / v.64, no.4, 2008 , pp. 298-302 More about this Journal
Abstract
We experienced a case of tuberculosis presented simultaneously with pseudoaneurysm of the aorta and ARDS. A 63-year-old man was admitted with complaints of fever and right upper quadrant abdominal pain for a week. Chest X-ray on admission showed a normal finding. Sub-diaphragmatic abscess on abdomen CT scan was suspected and serosanguinous fluid was aspirated from the abscess pocket. On day 2, he was getting more dyspneic and chest X-ray revealed extensive bilateral infiltration. Aspirated fluid revealed AFB. Later, follow-up abdomen CT scan revealed a leakage of dye from the aneurysmal sac of the descending aorta which was previously diagnosed as sub-diaphragmatic abscess. An aortic stent was placed, covering the opening into the aneurysm. The sputum also showed positive AFB. The patient was successfully weaned from the ventilator, and discharged with anti-tuberculous medication on day 42. Follow-up abdomen CT scan 6 months later showed that the aneurymal sac was completely disappeared.
Keywords
Tuberculosis; Pseudoaneurysm; ARDS; Stent;
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