Key result
A 71-year-old woman presented with dyspnea, a history of persistent fever, Horner syndrome, and aneurysmal dilatation of the descending thoracic aorta.
Case Report (n=1)
A clinical case presentation of a patient with dyspnea and a thoracic aortic aneurysm.
Recognizes Horner syndrome with fever as possible thoracic aortic aneurysm manifestation; single case leaves association and prevalence open.
Presentation of CaseA 71-year-old woman was admitted to the hospital because of dyspnea.She had been well until seven years previously, when persistent fever developed. Evaluation at this hospital five months later disclosed a right-sided Horner syndrome, limited motion in multiple joints and a Grade 2 precordial systolic murmur, without radiation. The blood pressure was 200 systolic, 110 diastolic. An x-ray film of the chest showed slight cardiac enlargement and fusiform aneurysmal dilatation of the descending portion of the thoracic aorta (Fig. 1). No diagnosis to explain the fever was established, and the patient was discharged without specific treatment. . . .
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Cabot et al. (1971) conducted a case report in Dyspnea and thoracic aortic aneurysm (n=1). A 71-year-old woman presented with dyspnea, a history of persistent fever, Horner syndrome, and aneurysmal dilatation of the descending thoracic aorta.
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