A Case of Tuberculosis Presented with Pseudoaneurysm of the Aorta and Acute Respiratory Distress Syndrome.

Lee, Eung Jun; Cho, Han Su; Yoon, Hyun Sung; Lee, Jung Hyun; Lee, Tae Hoon; Yoo, Kwang Ha; Lee, Kye Young; Kim, Sun Jong

doi:2008.64.4.298

Tuberc Respir Dis > Volume 64(4); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;64(4):298-302.
DOI: https://doi.org/10.4046/trd.2008.64.4.298 Published online April 1, 2008.

A Case of Tuberculosis Presented with Pseudoaneurysm of the Aorta and Acute Respiratory Distress Syndrome.

Eung Jun Lee, Han Su Cho, Hyun Sung Yoon, Jung Hyun Lee, Tae Hoon Lee, Kwang Ha Yoo, Kye Young Lee, Sun Jong Kim

Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University, Seoul, Korea. sjkim@kuh.ac.kr

Abstract

We experienced a case of tuberculosis presented simultaneously with pseudoaneurysm of the aorta and ARDS. A 63-year-old man was admitted with complaints of fever and right upper quadrant abdominal pain for a week. Chest X-ray on admission showed a normal finding. Sub-diaphragmatic abscess on abdomen CT scan was suspected and serosanguinous fluid was aspirated from the abscess pocket. On day 2, he was getting more dyspneic and chest X-ray revealed extensive bilateral infiltration. Aspirated fluid revealed AFB. Later, follow-up abdomen CT scan revealed a leakage of dye from the aneurysmal sac of the descending aorta which was previously diagnosed as sub-diaphragmatic abscess. An aortic stent was placed, covering the opening into the aneurysm. The sputum also showed positive AFB. The patient was successfully weaned from the ventilator, and discharged with anti-tuberculous medication on day 42. Follow-up abdomen CT scan 6 months later showed that the aneurymal sac was completely disappeared.

Key Words: Tuberculosis, Pseudoaneurysm, ARDS, Stent