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Aortic dissection presenting as fever of unknown origin
1Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Acta Cardiologica
|April 21, 2001
Summary
Acute aortic dissection can present unusually, sometimes with prolonged fever as a primary symptom. This case highlights fever as a potential key indicator of aortic dissection, even without chest pain.
Area of Science:
- Cardiology
- Internal Medicine
- Medical Diagnostics
Background:
- Acute aortic dissection presents diverse clinical symptoms, complicating diagnosis.
- Fever is often associated with aortic dissection but rarely the dominant feature.
Observation:
- A patient presented with prolonged, spiking fever of unknown origin after an acute aortic dissection.
- The fever persisted as a significant clinical issue post-dissection.
Findings:
- Prolonged fever can be a primary or residual manifestation of acute aortic dissection.
- Aortic dissection may present with atypical symptoms, including painless presentations.
Implications:
- Clinicians should consider acute aortic dissection in cases of prolonged fever, especially unexplained fevers.
- Recognizing atypical presentations of aortic dissection is crucial for timely diagnosis and management.