Life-Threatening Infectious Aortitis with Methicillin Resistant Staphylococcus aureus (MRSA) Bacteremia in a Woman with Type 2 Diabetes Mellitus

Yuan-Hung Wang, Ruei-Lin Wang, Kun-Lin Wu, Chung-Chi Yang and Po-Jen Hsiao

Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan Department of Internal Medicine, Tri-Service General Hospital, Taiwan

^*Correspondance to: Po-Jen Hsiao 

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Abstract:

Infectious aortitis can cause life-threatening complications in clinical practice. Here in, we present an educational case of Infectious aortitis with Methicillin-Resistant Staphylococcus aureus (MRSA) bacteremia in a Woman. The 83-year-old woman presented intermittent fever for 1 week. Her temperature was 38.5°C, and chest X-ray demonstrated tortuosity of aorta with calcification of aortic arch. Her blood cultures subsequently all grew Methicillin-Resistant Staphylococcus aureus (MRSA). Echocardiography revealed no vegetation. The symptoms of chest tightness and shortness of breath were noted. A follow-up chest X-ray showed progressive mediastinal widening. Contrast enhanced Computed Tomography (CT) scan demonstrated thickening of the wall of descending aorta that measured 0.7 cm, suggestive of aortitis with intramural hematoma.

Keywords:

Infectious aortitis; Bacteremia; CT; Staphylococcus aureus

Cite the Article:

Wang Y-H, Wang R-L, Wu K-L, Yang C-C, Hsiao P-J. Life-Threatening Infectious Aortitis with MethicillinResistant Staphylococcus aureus (MRSA) Bacteremia in a Woman with Type 2 Diabetes Mellitus. Ann Clin Case Rep. 2020; 5: 1868.