title: Aortic dissection presenting as a febrile disease and atrial fibrillation.
abstract: Aortic dissection is a cardiovascular emergency. Its main manifestation is severe chest pain, and approximately 50% of patients present with an elevated systemic blood pressure. Rare reported physical findings include a pulsatile sterno-clavicular joint, dysphagia or testicular tenderness. The absence of sudden onset of pain lowers the likelihood of aortic dissection. We describe a patient in whom aortic dissection was accompanied by fever, nightsweats, suprasternal pain and atrial fibrillation.
authors.forename: Jorge
authors.initials: J
authors.lastname: Blas-Macedo
authors.forename: Dolores
authors.initials: D
authors.lastname: Marquez-Ramírez
authors.forename: José de Jesús
authors.initials: Jde J
authors.lastname: Gómez-Dominguez
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis*; D001011:Aorta / Q000473:pathology; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis*; D001281:Atrial Fibrillation / Q000209:etiology*; D002637:Chest Pain / Q000209:etiology; D004562:Electrocardiography; D005260:Female; D005334:Fever / Q000209:etiology*; D006801:Humans; D006945:Hyperhidrosis / Q000209:etiology; D006973:Hypertension / Q000150:complications; D010490:Pericardial Effusion / Q000209:etiology