title: Fever of unknown origin as a primary presentation of chronic aortic dissection.
abstract: Fever of unknown origin is rare as a primary presentation of aortic dissection. We describe a 69-year-old female presenting with a sustained fever. A diagnosis of chronic type A aortic dissection was established by computed tomography. Replacements of the ascending aorta and part of the aortic arch were performed. Ten days after the operation, the patient had recurrent pyrexia. A large effusion in the left pleural cavity was found. After puncture aspiration and antibiotic treatment, she recovered. She was doing well at the 5(1/2)-year follow-up.
authors.affiliation: Department of Cardiac and Thoracic Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Shi-Min
authors.initials: SM
authors.lastname: Yuan
authors.forename: Salis
authors.initials: S
authors.lastname: Tager
authors.forename: Ehud
authors.initials: E
authors.lastname: Raanani
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D002908:Chronic Disease; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D014057:Tomography, X-Ray Computed