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Emphysematous Salmonella-Infected Aneurysm of the Aortic Arch: Case Report

  • Author Footnotes
    1 These authors contributed equally as co-first authors.
    So Eun Kim
    Footnotes
    1 These authors contributed equally as co-first authors.
    Affiliations
    Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju-si, Republic of Korea

    Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju-si, Republic of Korea

    Department of Emergency Medicine, Jeonbuk National University Medical School, Jeonju, Korea
    Search for articles by this author
  • Author Footnotes
    1 These authors contributed equally as co-first authors.
    Jae Chol Yoon
    Footnotes
    1 These authors contributed equally as co-first authors.
    Affiliations
    Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju-si, Republic of Korea

    Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju-si, Republic of Korea

    Department of Emergency Medicine, Jeonbuk National University Medical School, Jeonju, Korea
    Search for articles by this author
  • Author Footnotes
    2 These authors contributed equally to the study.
    Jae Baek Lee
    Correspondence
    Reprint Address: Jae Baek Lee, MD, PhD, Department of Emergency Medicine, Research Institute of Clinical Medicine of Jeonbuk National University and Biomedical Research Institute of Jeonbuk National University Hospital, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do, 54907, Republic of Korea and Taeoh Jeong, MD, PhD, Department of Emergency Medicine, Research Institute of Clinical Medicine of Jeonbuk National University and Biomedical Research Institute of Jeonbuk National University Hospital, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do, 54907, Republic of Korea.
    Footnotes
    2 These authors contributed equally to the study.
    Affiliations
    Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju-si, Republic of Korea

    Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju-si, Republic of Korea

    Department of Emergency Medicine, Jeonbuk National University Medical School, Jeonju, Korea
    Search for articles by this author
  • Author Footnotes
    2 These authors contributed equally to the study.
    Taeoh Jeong
    Correspondence
    Reprint Address: Jae Baek Lee, MD, PhD, Department of Emergency Medicine, Research Institute of Clinical Medicine of Jeonbuk National University and Biomedical Research Institute of Jeonbuk National University Hospital, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do, 54907, Republic of Korea and Taeoh Jeong, MD, PhD, Department of Emergency Medicine, Research Institute of Clinical Medicine of Jeonbuk National University and Biomedical Research Institute of Jeonbuk National University Hospital, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do, 54907, Republic of Korea.
    Footnotes
    2 These authors contributed equally to the study.
    Affiliations
    Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju-si, Republic of Korea

    Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju-si, Republic of Korea

    Department of Emergency Medicine, Jeonbuk National University Medical School, Jeonju, Korea
    Search for articles by this author
  • Youngho Jin
    Affiliations
    Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju-si, Republic of Korea

    Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju-si, Republic of Korea

    Department of Emergency Medicine, Jeonbuk National University Medical School, Jeonju, Korea
    Search for articles by this author
  • Author Footnotes
    1 These authors contributed equally as co-first authors.
    2 These authors contributed equally to the study.
Published:September 04, 2022DOI:https://doi.org/10.1016/j.jemermed.2022.08.006

      Abstract

      Background

      Infected aortic aneurysm is a relatively rare disease with significant morbidity and mortality. Because of its deeper position, patients with infected aortic arch aneurysms may present with only fever and other vague symptoms, such as weakness, fatigue, dizziness, anorexia, and functional decline. It is difficult confirm a diagnosis that is based solely on history or physical examination, and it may only be apparent on imaging studies.

      Case Report

      We present a brief case report of a patient presenting to the emergency department with unexplained fever who was diagnosed with emphysematous salmonella-infected aneurysm of the aortic arch.

      Why Should an Emergency Physician Be Aware of This?

      Infected aortic arch aneurysm is an extremely unusual disease entity that emergency physicians encounter. Because of the high mortality and morbidity of this catastrophic disease, an infected aortic aneurysm should be considered as a possible diagnosis in patients with persistent fever and vague symptoms without a specific infection focus. To avoid delayed diagnosis, emergency physicians should be aware of infected aortic arch aneurysm.

      Keywords

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