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An extensive emphysematous aortitis with no prior vascular intervention or aortic disease: a case report

Author: 
Othmani Safia, Hedhli Hana, Jendoubi Asma, Ben Kaddour Rym, Ben Mrad Melek and Jouini Sarra
Subject Area: 
Health Sciences
Abstract: 

Emphysematous aortitis is extremely rare. We report an uncommon case of emphysematous aortitis, presenting with severe sepsis, and occurring with no prior vascular intervention or aortic disease. This case highlights the importance of emergent medical and surgical management of this entity once diagnosis has been made. An 84-year-old female patient, with hypertension, presented with a one-week history of fever, fatigue and cough. Physical examination revealed fever and tachycardia. Given the current pandemic outbreak of Covid-19, a rapid antigen test was negative. Thoracic CT scan revealed the presence of air invading the aortic wall extending from the ascending aorta to the descending thoracic aorta without aortic aneurysm. The patient was diagnosed with emphysematous aortitis and started on broad spectrum antibiotics. Surgical intervention was not retained and the patient succumbed to sepsis after one day of treatment.

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