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KMID : 0882420180930020224
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Korean Journal of Medicine
2018 Volume.93 No. 2 p.224 ~ p.228
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A Case of Behcet’s Disease Mimicking Vertebral Invasion of a Mycotic Aneurysm
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Son Hyo-Ju
Choi Sung-Im
Jung Kyung-Hwa
Cheong Min-Seon
Lee In-Chul
Hong Seok-Chan
Chong Yong-Pill
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Abstract
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Behcet’s disease is a systemic vasculitis of unknown etiology characterized by recurrent oral and genital ulcers and uveitis. The vascular involvement of Behcet’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 Behcet’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 Behcet’s disease was made. He was successfully treated with corticosteroids. This report presents a rare case of Behcet’s disease mimicking vertebral invasion of a mycotic aneurysm.
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KEYWORD
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Behcet syndrome, Aneurysm, Infected, Osteomyelitis
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