title: Aortic dissection manifested as fever of unknown origin.
abstract: Aortic dissection is accompanied by fever in about one third of the patients. However, fever of unknown origin as the predominant manifestation of aortic dissection seems to be extremely rare. A review of the English literature revealed only 3 patients characterized by fever as the principal sign of aortic dissection. Herein an additional patient is reported. All 4 patients presented with pain or discomfort in the chest, back or abdomen, followed by persistent fever, lasting 5-11 weeks and associated with anemia and a high sedimentation rate. The outcome was favorable in all cases regardless of the location of the dissection or the type of treatment.
authors.affiliation: Department of Medicine T, Ichilow Hospital, Tel Aviv Medical Center, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Giladi
authors.forename: A
authors.initials: A
authors.lastname: Pines
authors.forename: M
authors.initials: M
authors.lastname: Averbuch
authors.forename: R
authors.initials: R
authors.lastname: Hershkoviz
authors.forename: J
authors.initials: J
authors.lastname: Sherez
authors.forename: Y
authors.initials: Y
authors.lastname: Levo
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications*; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000150:complications*; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans