Aortic dissection manifested as fever of unknown origin |
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Authors: | M Giladi A Pines M Averbuch R Hershkoviz J Sherez Y Levo |
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Affiliation: | Department of Medicine T, Ichilow Hospital, Tel Aviv Medical Center, Israel. |
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Abstract: | Aortic dissection is accompanied by fever in about one third of the patients. However, fever of unknown origin as the predominant manifestation of aortic dissection seems to be extremely rare. A review of the English literature revealed only 3 patients characterized by fever as the principal sign of aortic dissection. Herein an additional patient is reported. All 4 patients presented with pain or discomfort in the chest, back or abdomen, followed by persistent fever, lasting 5-11 weeks and associated with anemia and a high sedimentation rate. The outcome was favorable in all cases regardless of the location of the dissection or the type of treatment. |
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