Mycotic aneurysms of the aorta occasionally develop during the course of intravascular infection. In most instances they are associated with a subacute bacterial endocarditis. They are usually small and rarely discovered until necropsy. This case is of interest because of the size and location of the aneurysm and the associated pathology.
REPORT OF CASE
History.
—R. F., a boy, aged 17 years, was admitted to the University Hospital, Jan. 7, 1925. He complained of distress in the precordial region; pain in the left hip; weakness, and epistaxis. He stated that he had had measles and whooping cough in early childhood and rheumatic fever in 1919. After the latter illness the medical history was negative except for an occasional cold.The present illness began in October, 1924, with fever, night sweats, loss of weight and frequent nosebleeds. He had had a daily afternoon temperature which usually reached 102 F. In November