Korean J Med.  2018 Apr;93(2):224-228. 10.3904/kjm.2018.93.2.224.

A Case of Behçet's Disease Mimicking Vertebral Invasion of a Mycotic Aneurysm

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. drchong@amc.seoul.kr
  • 2Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Behçet's disease is a systemic vasculitis of unknown etiology characterized by recurrent oral and genital ulcers and uveitis. The vascular involvement of Behçet's disease affects arteries, veins, and blood vessels of all sizes, and it can include venous or arterial thrombosis and arterial aneurysms. There are only a few reports of an aortic aneurysm invading a vertebral body in a patient with Behçet's disease. Here, we report the case of a 45-year-old man who was initially diagnosed with vertebral invasion of a mycotic aneurysm. He underwent vascular surgery and received empirical antibiotics, but all cultures were negative. However, he had persistent, recurrent deep vein thrombosis and elevated inflammatory markers. After reviewing the pathology, a final diagnosis of Behçet's disease was made. He was successfully treated with corticosteroids. This report presents a rare case of Behçet's disease mimicking vertebral invasion of a mycotic aneurysm.

Keyword

Behcet syndrome; Aneurysm, Infected; Osteomyelitis

MeSH Terms

Adrenal Cortex Hormones
Aneurysm
Aneurysm, Infected*
Anti-Bacterial Agents
Aortic Aneurysm
Arteries
Behcet Syndrome
Blood Vessels
Diagnosis
Humans
Middle Aged
Osteomyelitis
Pathology
Systemic Vasculitis
Thrombosis
Ulcer
Uveitis
Veins
Venous Thrombosis
Adrenal Cortex Hormones
Anti-Bacterial Agents
Full Text Links
  • KJM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr