Slowly progressive and painless thoracic aortic dissection presenting with a persistent fever in an elderly patient: The usefulness of combined measurement of biochemical parameters

Shunsuke Yamada, Masanori Tokumoto, Toshiaki Ohkuma, Yasuo Kansui, Yoshinobu Wakisaka, Yuji Uchizono, Kazuhiko Tsuruya, Takanari Kitazono, Hiroaki Ooboshi

研究成果: ジャーナルへの寄稿記事

3 引用 (Scopus)

抄録

Aortic dissection is a fatal medical condition that requires urgent diagnosis and appropriate intervention. Because acute aortic dissection often manifests as sudden onset excruciating chest pain, physicians can easily reach a proper diagnosis. However, some patients with aortic dissection present with varied clinical manifestations without exhibiting typical chest pain, leading to a delayed diagnosis and possible fatality. We herein present the case of an elderly subject with a fever of unknown origin who was ultimately diagnosed with aortic dissection. In the present case, a negative procalcitonin test, increased D-dimer and serum creatinine phosphokinase-BB levels, and reelevation of the CPR level led us to the correct diagnosis.

元の言語英語
記事番号498129
ジャーナルCase Reports in Medicine
2013
DOI
出版物ステータス出版済み - 1 1 2013

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Dissection
Fever
Thorax
Chest Pain
Fever of Unknown Origin
Delayed Diagnosis
Cardiopulmonary Resuscitation
Calcitonin
Creatinine
Phosphotransferases
Physicians
Serum

All Science Journal Classification (ASJC) codes

  • Medicine(all)

これを引用

Slowly progressive and painless thoracic aortic dissection presenting with a persistent fever in an elderly patient : The usefulness of combined measurement of biochemical parameters. / Yamada, Shunsuke; Tokumoto, Masanori; Ohkuma, Toshiaki; Kansui, Yasuo; Wakisaka, Yoshinobu; Uchizono, Yuji; Tsuruya, Kazuhiko; Kitazono, Takanari; Ooboshi, Hiroaki.

:: Case Reports in Medicine, 巻 2013, 498129, 01.01.2013.

研究成果: ジャーナルへの寄稿記事

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AU - Kansui, Yasuo

AU - Wakisaka, Yoshinobu

AU - Uchizono, Yuji

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