Aortic dissection in a patient with human immunodeficiency virus infection that was diagnosed at autopsy: a case report

CHIHO OHBA YASHI5 and KEIICHI MIKASA2 Infectious Disease Department, Minami-Nara General Medical Cente.Y Center for Infectious Diseases, Nara Medical University2 Internal medicine, Saiseikai Chuwa Hospitaf Infectious disease department, Ebara Hospitaf Department of Pathology, Nara Medical University5 Received October 20, 2017 A 43-year-old homosexual man was referred to our hospital for chest pain and loss of consciousness. He was hypertensive, and had an uncontrolled viral load. Serum creatinine revealed acute renal failure, and he died 3 days later. On autopsy, aortic dissection (Type B) was found. No obvious inflammatory change, granulation, bacterial or fungal infection, or medionecrosis were seen at the dissection site. To our knowledge, this was the first case with HIV in whom aortic dissection was diagnosed at autopsy. Aortic dissection is a potential differential diagnosis even in young patients presenting with hypertension and chest pain.