Fever of unknown origin, giant cell arteritis, and aortic dissection

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• 作者：K. Hofheinz ; S. Bertz ; J. Wacker ; G. Schett…
• 关键词：Pyrexia of unknown origin ; Giant cell ; Aortitis ; Aortic dissection
• 刊名：Zeitschrift für Rheumatologie
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：76
• 期：1
• 页码：83-86
• 全文大小：
• 刊物主题：Internal Medicine; Rheumatology;
• 出版者：Springer Medizin
• ISSN：1435-1250
• 卷排序：76

文摘

Giant cell arteritis is one of the most frequent causes of pyrexia of unknown origin after infectious or malignant causes have been ruled out. In this case report we describe a 66-year old female patient, who after five weeks of remitting fever developed a life-threatening, painless severe aortic dissection. The timely use of modern imaging technologies such as magnetic resonance angiography or positron emission computed tomography could in the future be of help to recognize aortic involvement early and to avoid this devastating complication in patients with fever of unknown origin.