title: Pyrexia in patients with uncontrolled systemic hypertension: could they have an aortic dissection?
abstract: Aortic dissection can present in a variety of ways and one of the most documented risk factors includes systemic hypertension. Occasionally aortic dissection can be diagnosed late due to an insidious presentation. Fever has been described in people with aortic dissection but rarely as the main presenting feature. We present the cases of two patients with type B aortic dissections who shared three pertinent features which could have alerted the clinicians of the potential diagnosis; systemic hypertension, small left sided pleural effusion and a fever of unknown origin.
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Vasileios
authors.initials: V
authors.lastname: Patris
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Whiteley
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Orestis
authors.initials: O
authors.lastname: Argiriou
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Niki
authors.initials: N
authors.lastname: Lama
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Haris
authors.initials: H
authors.lastname: Georgiou
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Charalampos
authors.initials: C
authors.lastname: Constantinou
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Mihalis
authors.initials: M
authors.lastname: Argiriou
authors.affiliation: 1 Department of Cardiac Surgery, Heart and Chest Hospital, Liverpool, UK ; 2 Medical School, University of Ioannina, Ioannina, Greece ; 3 Department of Radiology, Agia Olga General Hospital, Athens, Greece ; 4 Department of Cardiac Surgery, "Evangelismos" General Hospital of Athens, Athens, Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Charitos
keywords: Type B aortic dissection; hypertension; pyrexia; stent graft; unknown fever