Infected aortic aneurysmal rupture masquerading as pneumonia.

Abstract

Learning point for clinicians This case report highlights (i) The importance of ruling out infectious aortic aneurysm in a patient with rapidly expanding lung infiltrates with signs of sepsis and respiratory symptoms. (ii) The rare occurrence of fusobacterium bacteremia secondary to infected aneurysm. A 59-year-old male with history of hypertension, presented with substernal chest pain, vomiting, fever and one episode of hemoptysis. Patient was admitted a week ago with similar pain and stress ECHO was negative for ischemia. He had presented to the ED (emergency department) 4 days ago, was diagnosed with pneumonia and was discharged on levofloxacin. The new onset of hemoptysis and the persistent symptoms prompted him to come to the ED again. He had a 10 pack year smoking history, consumed alcohol every day and used marijuana. He was tachycardic, but otherwise hemodynamically stable and was saturating …