Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters
Aortic dissection is a fatal medical condition that requires urgent diagnosis and appropriate intervention. Because acute aortic dissection often manifests as sudden onset excruciating chest pain, physicians can easily reach a proper diagnosis. However, some patients with aortic dissection present w...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/498129 |
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| author | Shunsuke Yamada Masanori Tokumoto Toshiaki Ohkuma Yasuo Kansui Yoshinobu Wakisaka Yuji Uchizono Kazuhiko Tsuruya Takanari Kitazono Hiroaki Ooboshi |
| author_facet | Shunsuke Yamada Masanori Tokumoto Toshiaki Ohkuma Yasuo Kansui Yoshinobu Wakisaka Yuji Uchizono Kazuhiko Tsuruya Takanari Kitazono Hiroaki Ooboshi |
| author_sort | Shunsuke Yamada |
| collection | DOAJ |
| description | Aortic dissection is a fatal medical condition that requires urgent diagnosis and appropriate intervention. Because acute aortic dissection often manifests as sudden onset excruciating chest pain, physicians can easily reach a proper diagnosis. However, some patients with aortic dissection present with varied clinical manifestations without exhibiting typical chest pain, leading to a delayed diagnosis and possible fatality. We herein present the case of an elderly subject with a fever of unknown origin who was ultimately diagnosed with aortic dissection. In the present case, a negative procalcitonin test, increased D-dimer and serum creatinine phosphokinase-BB levels, and reelevation of the CPR level led us to the correct diagnosis. |
| format | Article |
| id | doaj-art-3a36dfaab1514f74a85f62d639c46b15 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-3a36dfaab1514f74a85f62d639c46b152025-02-03T06:07:09ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/498129498129Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical ParametersShunsuke Yamada0Masanori Tokumoto1Toshiaki Ohkuma2Yasuo Kansui3Yoshinobu Wakisaka4Yuji Uchizono5Kazuhiko Tsuruya6Takanari Kitazono7Hiroaki Ooboshi8Division of Internal Medicine, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka 814-0193, JapanDivision of Internal Medicine, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka 814-0193, JapanDivision of Internal Medicine, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka 814-0193, JapanDivision of Internal Medicine, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka 814-0193, JapanDivision of Internal Medicine, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka 814-0193, JapanDivision of Internal Medicine, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka 814-0193, JapanDepartment of Integrated Therapy for Chronic Kidney Disease, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDivision of Internal Medicine, Fukuoka Dental College, 2-15-1 Tamura, Sawara-Ku, Fukuoka 814-0193, JapanAortic dissection is a fatal medical condition that requires urgent diagnosis and appropriate intervention. Because acute aortic dissection often manifests as sudden onset excruciating chest pain, physicians can easily reach a proper diagnosis. However, some patients with aortic dissection present with varied clinical manifestations without exhibiting typical chest pain, leading to a delayed diagnosis and possible fatality. We herein present the case of an elderly subject with a fever of unknown origin who was ultimately diagnosed with aortic dissection. In the present case, a negative procalcitonin test, increased D-dimer and serum creatinine phosphokinase-BB levels, and reelevation of the CPR level led us to the correct diagnosis.http://dx.doi.org/10.1155/2013/498129 |
| spellingShingle | Shunsuke Yamada Masanori Tokumoto Toshiaki Ohkuma Yasuo Kansui Yoshinobu Wakisaka Yuji Uchizono Kazuhiko Tsuruya Takanari Kitazono Hiroaki Ooboshi Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters Case Reports in Medicine |
| title | Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters |
| title_full | Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters |
| title_fullStr | Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters |
| title_full_unstemmed | Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters |
| title_short | Slowly Progressive and Painless Thoracic Aortic Dissection Presenting with a Persistent Fever in an Elderly Patient: The Usefulness of Combined Measurement of Biochemical Parameters |
| title_sort | slowly progressive and painless thoracic aortic dissection presenting with a persistent fever in an elderly patient the usefulness of combined measurement of biochemical parameters |
| url | http://dx.doi.org/10.1155/2013/498129 |
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