Rare case of infective aortitis with aortic rupture and cardiac tamponade in a young child. Issue 12 (1st December 2022)

• Record Type: Journal Article
• Authors: Datta, Manas; Pradeep, Sangeetha; Aditya, Mainak
• Is Part Of: BMJ case reports. Volume 15:Issue 12(2022)
• Publication Date: 2022-12-01
• Subjects: Paediatrics -- Pericardial disease -- Infectious diseases; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2022-250543
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Aortitis and aortic dissection are very rare in children. The clinical presentation of aortitis varies across a spectrum, ranging from incidental findings to fatal aortic dissection and rupture. A high index of suspicion is needed to establish an accurate and timely diagnosis. Here, we present an unfortunate case of fatal infective aortitis with aortic rupture and cardiac tamponade in a healthy toddler. Postmortem report implicated Kingella kingae as the causative organism of aortic pseudoaneurysm and rupture, leading to the instantaneous death of the child.