An unusual cause of dyspnoea in a geriatric patient
Authors:
Kurašová Jitka
Authors‘ workplace:
II. interní klinika – gastroenterologická a geriatrická FN Olomouc
Published in:
Geriatrie a Gerontologie 2022, 11, č. 4: 194-196
Category:
Overview
In this case report, we describe the case of a 71-year-old woman admitted via the geriatric outpatient department in order to investigate persistent exertional dyspnoea, non-specific chest pain with propagation to the shoulders and intermittent fever. The patient was examined extensively, during which cardiology, pneumology, rheumatology, laboratory and imaging tests were performed incl. PET/CT, which showed the cause of the problem. The patient was reffered to a rheumatologist for the guidance of the therapy. Currently, after 3 months of treatment with temporary limitation of physical effort, she is able to manage her numerous physical activities without major difficulties again.
Keywords:
vasculitis – dyspnoea – aortitis – febrilia of unclear aetiology
Sources
1. Erbel R, Aboyans V, Boileau C, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J 2014; 35(41):2873–2926.
2. Carrer M, Vignals C, Berard X, et al. Retrospective multicentric study comparing infectious and non-infectious aortitis. Clin Infect Dis 2022: ciac560.
3. Pugh D, Grayson P, Basu N, et al. Aortitis: recent advances, current concepts and future possibilities. Heart 2021; 107(20): 1620– 1629.
4. Bossone E, Pluchinotta FR, Andreas M, et al. Aortitis. Vascul Pharmacol 2016; 80: 1–10.
5. Bělobrádková M, Tomš J, Bělobrádek Z, et al. Polymyalgia rheumatica a obrovskobuněčná arteritida. Prakt lékáren 2015; 11(5): 160–163.
6. Ř ehák F, Fojtík Z, Szturz P, et al. 18F-FDG PET a PET/CT vyšetření v č asné diagnostice obrovskobuněčné arteritidy – soubor 39 pacientů. Ces Radiol 2013; 67(1): 62–72.
7. Delaval L, Goulenok T, Achouh P, et al. New insights on tuberculous aortitis. J Vasc Surg 2017; 66(1): 209–215.
8. Schäfer VS, Warrington KJ, Williamson EE, et al. Delayed diagnosis of biopsy-negative giant cell arteritis presenting as fever of unknown origin. J Gen Intern Med 2009; 24(4): 532–536.
Labels
Geriatrics General practitioner for adults Orthopaedic prostheticsArticle was published in
Geriatrics and Gerontology
![Issue 4](https://www.prolekare.cz/media/cache/resolve/journal_issue/media/image_pdf/abce9f2593e41773f2e7955a42b69253.jpg)
2022 Issue 4
Most read in this issue
- A Pilot Study of the Mini-Cog Czech version in Czech Adults
- Opioid analgesics in the pain management of geriatric patients
- Vybrané faktory prevence u seniorů
- The association between diabetes mellitus 2 and geriatric syndromes – the results of international studies