Infectious aneurism of the Aorta

78 Year old patient, type 2 diabetes and high blood pressure with recent consumption de NSAIDS, refers epigastric pain 8/10 with reduced appetite. Lab findings show elevated liver enzymes and cholestasic pattern. Patient was studied by Gastroenterology, video endoscopy was performed, to rule out peptic ulcer, ultimately negative. As differential diagnosis, liver auto inmune bodies were solicited, to rule out autoimmune hepatitis. While waiting for the antibodies he developed persistent fever with blood cultures positive for staphylococcus aureus. We solicited cat scans, for unclear infectious focus and epigastric/vague retrosternal pain without a clear cause. Radiology called me to review the case. We passed the patient to critical care. Pet scan was preformed and the diagnosis was confirmed. submitted by /u/Sandytrenholm [link] [comments]

source https://www.reddit.com/r/Radiology/comments/znsjpc/infectious_aneurism_of_the_aorta/