title: [Type-A aortic dissection without chest pain in a patient with Clostridium fallax infection].
abstract: We describe the case of a 64-year-old patient admitted to our hospital because of syncope and suspicion of cardiac tamponade. At admission he had temporary alteration of conscience with clinical evidence of sepsis without chest pain. There was a mild pericardial effusion in absence of clinical and echocardiographic signs of cardiac tamponade. About 36 hours later we found evidence of an aortic dissection and in the blood culture an isolation of Clostridium fallax that we consider the probable cause of this lesion.
authors.affiliation: Divisione di Cardiologia I Dipartimento Cardio Toracico Università degli Studi Ospedale Cisanello Via Paradisa, 2 56124 Pisa. zucchelli7@interfree.it
authors.forename: Giulio
authors.initials: G
authors.lastname: Zucchelli
authors.forename: Carmela
authors.initials: C
authors.lastname: Nardi
authors.forename: Gianclaudio
authors.initials: G
authors.lastname: Mecozzi
authors.forename: Paolo
authors.initials: P
authors.lastname: Caravelli
authors.forename: Jan G
authors.initials: JG
authors.lastname: Grandjean
authors.forename: Mario
authors.initials: M
authors.lastname: Mariani
mesh_terms: D000784:Aortic Dissection / Q000097:blood / Q000175:diagnosis* / Q000382:microbiology*; D001014:Aortic Aneurysm / Q000097:blood / Q000175:diagnosis* / Q000382:microbiology*; D002305:Cardiac Tamponade / Q000175:diagnosis; D003015:Clostridium Infections / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D013575:Syncope / Q000382:microbiology; D014057:Tomography, X-Ray Computed