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Tubercular mycotic aortic aneurysm: A case report.

Satish Kumar1, Nm Sharath Babu1, Pramod Jaret1

  • 1Department of Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

Lung India : Official Organ of Indian Chest Society
|April 7, 2016
PubMed
Summary

Tubercular aortic aneurysms are rare and difficult to diagnose preoperatively. This case highlights a young female patient diagnosed with a tubercular aortic aneurysm after initial treatment for pleural effusion.

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Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Cardiology

Background:

  • Aneurysms of the aorta are uncommon, with tubercular involvement being exceptionally rare.
  • The first documented cases of tubercular aortitis and mycotic aortic aneurysms date back to the late 19th century.
  • Preoperative diagnosis of tubercular aortic aneurysms presents significant challenges due to non-specific gross appearances and diagnostic limitations.

Purpose of the Study:

  • To report a rare case of a young female patient with a tubercular aortic aneurysm.
  • To emphasize the diagnostic difficulties associated with tubercular aortic aneurysms.
  • To highlight the importance of considering tuberculosis in aortic aneurysm cases, especially in endemic regions.

Main Methods:

  • Case report of a young female patient.
Keywords:
Anti-tubercular treatmentmycotic aneurysmsacculartubercle Bacilli

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  • Initial diagnosis and treatment for pleural effusion.
  • Subsequent identification and diagnosis of an aortic aneurysm.
  • Confirmation of the tubercular etiology of the aortic aneurysm.

    • Main Results:

    • A young female patient presented with pleural effusion, treated with antitubercular therapy.
    • An aortic aneurysm was discovered during the course of her treatment.
    • The aortic aneurysm was confirmed to be of tubercular origin.

    Conclusions:

    • Tubercular aortic aneurysms are rare and pose diagnostic challenges.
    • Early and accurate diagnosis is crucial for effective management.
    • This case underscores the need for a high index of suspicion for tuberculosis in aortic pathology.