title: Clostridial aortitis causing ruptured dissecting aneurysm in a young adult female.
abstract: Ruptured dissecting aortic aneurysm more commonly occur in men in the 40 to 70 age group, and most commonly is associated with atherosclerosis. Uncommon causes are previous heart surgery, connective tissue disorders and aortitis. Despite its rarity, Clostridium spp aortitis progresses very rapidly with a mortality rate of approximately 79% in adults, typically occurring within 48 hours of infection. We present a case of sudden death due to clostridial aortitis causing ruptured aortic dissection in an apparently healthy adult female, 7 weeks post-spontaneous vaginal delivery. This case highlights the pathology of aortic dissection and cystic media necrosis as presentations of clostridium spp infection in young female adult.
authors.affiliation: Hospital Kuala Lumpur, Department of Forensic Medicine, Kuala Lumpur, Malaysia. kuna0921@yahoo.com.
authors.forename: K
authors.initials: K
authors.lastname: Subramaniam
authors.forename: A H
authors.initials: AH
authors.lastname: Hasmi
authors.forename: M S
authors.initials: MS
authors.lastname: Mahmood
mesh_terms: D000293:Adolescent; D000784:Aortic Dissection / Q000382:microbiology*; D001019:Aortic Rupture / Q000382:microbiology*; D001025:Aortitis / Q000382:microbiology*; D003015:Clostridium Infections / Q000150:complications*; D003645:Death, Sudden; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D049590:Postpartum Period