title: Dissecting aneurysm of the thoracic aorta in a patient with nephrotic syndrome and brucellosis.
abstract: We report the case of a 61-year-old man with nephrotic syndrome due to glomerulonephritis and chronic brucellosis complicated by dissecting aortic aneurysm. The patient worked as a veterinarian and was diagnosed for chronic but non-active brucellosis with positive serum test for Brucella melitensis in the past. Administration of cyclosporine in combination with low dose prednisone resulted at least in proteinuria reduction and partial remission for 3 years. Dissecting aortic aneurysm was treated by insertion of a stent-graft, that resulted in canalization of blood flow and retraction of aneurysm wall later in the course in our patient.
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Traugutta 57, Wroclaw, Poland. mariok@tlen.pl
authors.forename: M
authors.initials: M
authors.lastname: Kusztal
authors.forename: A
authors.initials: A
authors.lastname: Dorobisz
authors.forename: J
authors.initials: J
authors.lastname: Kuzniar
authors.forename: J
authors.initials: J
authors.lastname: Garcarek
authors.forename: K
authors.initials: K
authors.lastname: Koscielska-Kasprzak
authors.forename: D
authors.initials: D
authors.lastname: Kaminska
authors.forename: T
authors.initials: T
authors.lastname: Porazko
authors.forename: M
authors.initials: M
authors.lastname: Klinger
mesh_terms: D000784:Aortic Dissection / Q000209:etiology*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology*; D002006:Brucellosis / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009404:Nephrotic Syndrome / Q000150:complications*