Kokyu to Junkan Volume 52, Issue 8 (August 2004)

A Case of Tuberculous Pseudoaneurysm of the Aorta Kazuhiko Fujita 1 , Minoru Hoshi 1 , Yuki Tamaya 1 , Akitaka Iwagaki 1 , Isao Goto 1 , Shigeto Hasegawa 2 , Motomu Tsuji 3 , Kyon-Yob Min 1 , Shinjiro Sasaki 2 , Toshiaki Hanafusa 1 1First Department of Internal Medicine, Osaka Medical College 2Department of Thoracic Surgery, Osaka Medical College 3Departmcnt of Pathology, Osaka Medical College Keyword: 結核性大動脈瘤 , 肺結核 , 抗結核療法 , 喀血 , 外科的療法 , tuberculous pseudoaneurysm of the aorta , pulmonary tuberculosis , hemoptysis , antitubercular therapy , surgical treatment pp.859-862
Published Date 2004/8/1
DOI https://doi.org/10.11477/mf.1404100352
  • Abstract
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 A-70-year-old man with diabetes complaining of hemoptysis and fever was admitted to our hospital. Sputum cultures were positive for Mycobacterium tuberculosis. Chest X-ray films revealed right pleural thickening and a 3-cm nodular shadow in the right lower lobe. Computed tomography scans of the chest revealed an aortic aneurysm at the aortic arch. Antitubercular therapy was started on the second day after admission. After the treatment, chest X-ray films revealed gradual enlargement of the aneurysm, and the patient suffered occasional hemoptysis. An aortic aneurysm with rupture was suspected. He underwent surgery to repair the aneurysm. As culture of the aneurysm wall for acid-fast bacilli was positive, this patient was diagnosed as having a tuberculous aneurysm of the aorta.

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52巻8号 (2004年8月)
電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院