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Article in Japanese
Abstract
Case Report
Massive hemoptysis resulting from an infected aortic aneurysm caused by Staphylococcus aureus
Shouichi Okamotoa Mikio Takamorib Yukiko Takahashib Miake Yamamotob Kengo Muratab Akihiko Wadab
aDivision of Respiratory Medicine, Juntendo University Faculty of Medicine and Graduate School of Medicine
bDepartment of Respiratory Medicine and Medical Oncology, Tokyo Metropolitan Tama Medical Center
ABSTRACT
An 80-year-old man was admitted to our hospital with complaints of productive cough, bloody sputum, and fever. He was intubated after experiencing massive hemoptysis while coughing. Staphylococcus aureus sepsis with hemorrhaging from an infected aneurysm in the descending aorta was diagnosed. Although the hemoptysis disappeared, it recurred one week later and every few days thereafter. After the aneurysm was repaired by an endovascular stent graft, the recurrences ceased. Patients having an infected aortic aneurysm with high blood pressure may cough up excessive blood; therefore the prognosis seemed to be poor. Although rare, infected aortic aneurysms should be considered as a possible cause of hemoptysis.
KEYWORDS
Staphylococcus aureus Infected aortic aneurysm Hemoptysis Endovascular aneurysm repair
Received 24 Jan 2017 ／ Accepted 29 Jun 2017
AJRS, 6(5): 373-377, 2017
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