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Sudden death with massive hemoptysis from rupture of a thoracic inflammatory aortic aneurysm: An autopsy case report

机译:胸腔炎性主动脉瘤破裂导致大量咯血突然死亡:尸检病例报告

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An 84-year-old-man was admitted to the Department of Neurosurgery for a sudden episode of fainting. Brain computed tomography and magnetic resonance imaging demonstrated no fresh lesions. Anorexia, fever and elevation of C-reactive protein and creatine phosphokinase were observed, and the patient was transferred to the Department of Internal Medicine for further examination and treatment. High-dose steroids and antibiotics were administered, and his fever subsided. However, massive hemoptysis suddenly developed and the patient died. A thoracic aortic aneurysm that had coalesced and ruptured a left lung bronchus was detected at autopsy. Pathological examination revealed an inflammatory aortic aneurysm.
机译:一名84岁的男子因昏厥突然入神经外科。脑计算机断层扫描和磁共振成像未发现新鲜病变。观察到厌食,发烧和C反应蛋白和肌酸磷酸激酶升高,该患者被转至内科进行进一步检查和治疗。服用了大剂量的类固醇和抗生素,他的发烧消退了。然而,突然出现大量咯血,患者死亡。尸检时发现胸主动脉瘤合并左肺支气管并破裂。病理检查发现有炎性主动脉瘤。

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