Rapid progression of a small penetrating aortic ulcer to rupture in the setting of Staphylococcus aureus bacteraemia.
An octogenarian woman with a history of heart failure and atrial fibrillation presented with cervical phlegmon and Staphylococcus aureus bacteraemia.
Clinical pearl
Clinicians should be vigilant for rapid progression of aortic ulcers, especially in patients with concurrent infections, as this can lead to acute complications requiring urgent intervention.