title: Gonococcal ascending aortic aneurysm with penetrating ulcer and bovine arch.
abstract: We describe a patient with ascending aorta aneurysm and bovine aortic arch who initially presented with fever. A 65-year-old man with a 2-month history of intermittent fever was referred to our hospital and diagnosed as having a gonococcal ascending aorta aneurysm with penetrating ulcers. He was successfully treated by resection of the ascending aorta and ulcers, replacement of the aortic valve, and prolonged postoperative antibiotic therapy.
authors.affiliation: Department of Cardiac Surgery, ULB Erasme University Hospital, Brussels, Belgium beloumei@ulb.ac.be.
authors.forename: Bachar El
authors.initials: BE
authors.lastname: Oumeiri
authors.affiliation: Department of Cardiac Surgery, ULB Erasme University Hospital, Brussels, Belgium.
authors.forename: Frédéric Vanden
authors.initials: FV
authors.lastname: Eynden
authors.affiliation: Department of Cardiac Surgery, ULB Erasme University Hospital, Brussels, Belgium.
authors.forename: Constantin
authors.initials: C
authors.lastname: Stefanidis
authors.affiliation: Department of Cardiac Surgery, ULB Erasme University Hospital, Brussels, Belgium.
authors.forename: Martine
authors.initials: M
authors.lastname: Antoine
authors.affiliation: Department of Cardiac Surgery, ULB Erasme University Hospital, Brussels, Belgium.
authors.forename: Guido Van
authors.initials: GV
authors.lastname: Nooten
mesh_terms: D061605:Administration, Intravenous; D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001011:Aorta / Q000473:pathology / Q000601:surgery; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005839:Gentamicins / Q000008:administration & dosage*; D006069:Gonorrhea / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D006324:Heart Arrest, Induced / Q000379:methods; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000187:drug effects / Q000302:isolation & purification; D010406:Penicillins / Q000008:administration & dosage*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D010406:Penicillins
keywords: Aneurysm; aortic aneurysm; aortic valve; gonorrhoea; infected; thoracic