Nachega J B, Vandercam B, d'Udekem Y, Verhelst R, Jacquet L, Dion R, Goenen M
Department of Internal Medicine, Cliniques Universitaires St Luc, Brussels, Belgium.
Acta Clin Belg. 1998 Feb;53(1):53-4. doi: 10.1080/17843286.1998.11754142.
We describe a case of chronic dissection of thoracic aorta presumed to be due to tuberculosis from pleuro-pericarditis foci and who was cured by antituberculous therapy and surgery. With the recent increase of tuberculosis cases, tuberculous aortitis might become less rare and the clinicians should suspect this diagnosis in subjects with aortic dissection and history of tuberculosis.
我们描述了一例胸主动脉慢性夹层病例,推测其病因是胸膜心包炎病灶引发的结核病,该患者通过抗结核治疗和手术得以治愈。随着近期结核病病例的增加,结核性主动脉炎可能不再那么罕见,临床医生应对患有主动脉夹层且有结核病史的患者怀疑这一诊断。