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Wednesday 04 July 2007

Dissecting aneurysm of the thoracic aorta in a patient with nephrotic syndrome and brucellosis.

By: Kusztal M, Dorobisz A, Kuzniar J, Garcarek J, Koscielska-Kasprzak K, Kaminska D, Porazko T, Klinger M.

Int Urol Nephrol 2007 ;39(2):641-5

We report the case of a 61-year-old man with nephrotic syndrome due to glomerulonephritis and chronic brucellosis complicated by dissecting aortic aneurysm. The patient worked as a veterinarian and was diagnosed for chronic but non-active brucellosis with positive serum test for Brucella melitensis in the past. Administration of cyclosporine in combination with low dose prednisone resulted at least in proteinuria reduction and partial remission for 3 years. Dissecting aortic aneurysm was treated by insertion of a stent-graft, that resulted in canalization of blood flow and retraction of aneurysm wall later in the course in our patient.

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