title: Rapidly progressing mycotic aortic aneurysm masquerading as acute coronary syndrome.
abstract: Mycotic aortic aneurysms are rare. The most common cause of a mycotic aortic aneurysm is bacterial seeding in a diseased or injured aortic intima with subsequent arteritis. Because the clinical presentation of mycotic aortic aneurysms can be quite variable, the diagnosis hence can often be quite challenging. We herewith report an interesting case study in which the patient with a mycotic aortic aneurysm presented with the clinical picture masquerading as an acute coronary syndrome. The scenario reiterates the fact that despite the availability of accurate noninvasive imaging techniques, strong clinical suspicion might be imperative for the diagnosis of mycotic aneurysms.
authors.forename: Lovely
authors.initials: L
authors.lastname: Chhabra
authors.forename: Mihaela A
authors.initials: MA
authors.lastname: Kruger
authors.forename: Gayatri
authors.initials: G
authors.lastname: Kuraganti
authors.forename: Rami
authors.initials: R
authors.lastname: Eltibi
authors.forename: Suresh
authors.initials: S
authors.lastname: Mamidala
authors.forename: Rishi
authors.initials: R
authors.lastname: Bajaj
authors.forename: Akhila
authors.initials: A
authors.lastname: Belur
authors.forename: Alwyn
authors.initials: A
authors.lastname: Rapose
authors.forename: Joseph
authors.initials: J
authors.lastname: Hannan
mesh_terms: D054058:Acute Coronary Syndrome / Q000209:etiology*; D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000628:therapy; D016470:Bacteremia / Q000175:diagnosis* / Q000628:therapy; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000628:therapy; D002637:Chest Pain / Q000209:etiology / Q000628:therapy; D003327:Coronary Disease / Q000175:diagnosis; D018450:Disease Progression; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D010492:Pericardiectomy; D020519:Pericardiocentesis; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents