Bhogal Sukhdeep, Khalid Muhammad, Murtaza Ghulam, Bhandari Tarun, Summers Jeffrey
Department of Internal Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, USA.
Department of Internal Medicine, East Tennessee State University, Quillen College of Medicine, Johnson City, USA.
Cureus. 2018 May 7;10(5):e2587. doi: 10.7759/cureus.2587.
Aortic dissection is a life-threatening emergency associated with significant mortality rate. Early diagnosis is essential to improve the survival. Although the most common presentation is severe chest pain, it can be variable leading to delay in the diagnosis especially if it is painless. Painless aortic dissection is a rare entity with sparse data available based on case reports. We present a case of a young male with an atypical presentation where the presumptive diagnosis of infective endocarditis was made based on initial presentation but was eventually diagnosed as painless aortic dissection.
主动脉夹层是一种危及生命的急症，死亡率很高。早期诊断对于提高生存率至关重要。虽然最常见的表现是严重胸痛，但也可能多种多样，导致诊断延迟，尤其是在无痛的情况下。无痛性主动脉夹层是一种罕见的情况，基于病例报告的可用数据很少。我们报告一例年轻男性的非典型病例，其最初表现疑似感染性心内膜炎，但最终被诊断为无痛性主动脉夹层。
