+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn

+ Translate
+ Recently Requested

-Prolonged fever syndrome and infection of abdominal aortic aneurysm due to Salmonella enteritidis

-Prolonged fever syndrome and infection of abdominal aortic aneurysm due to Salmonella enteritidis

Medicina 55(4): 341-344

Endovascular infection of atherosclerotic aorta is a rare event in the setting of aged patients with gram negative bacteremia of the salmonella group. Until the beginning of the 60s this meant an ominous diagnosis with an almost unavoidable fatal prognosis. Presently, this trend has been reverted, mostly due to an earlier diagnosis, the development of more sophisticated imaging techniques, the correct use of broad spectrum bactericidal antibiotics and prompt surgical management. Paradoxically, the incidence of arterial infections has increased in recent years, specially in old people with atherosclerotic abdominal aortic aneurysms, in whom infective endocarditis could not be demonstrated. We describe the case of a 65 year old man, with a history of longstanding non-insulin-dependent diabetes, presenting with protracted fever, weight loss and thigh pain. Blood cultures and serologic studies as well as several echocardiograms yielded negative results. An abdominal CT scan showed an infrarenal aortic aneurysm raising the clinical suspicion of arterial infection of abdominal aorta. The patient underwent surgery because of highly presumptive diagnosis of complicated aortic aneurysm. The resection was followed by an in situ graft. There was no evidence of disruption or gross collection. Samples of the aortic wall and perianeurysmatic fluid grew Salmonella enteritides. We describe the main etiopathogenic and clinic features of the entity highlighting the high sensitivity and specificity of the CT scan in the identification and characterization of infected aortic aneurysm. Certain features may firmly suggest this diagnosis without using preoperative aortography.

(PDF emailed within 1 workday: $29.90)

Accession: 045010676

Download citation: RISBibTeXText

PMID: 8728876

Related references

Abdominal aortic aneurysm due to Salmonella enteritidis and fever of unknown origin. Medicina (Buenos Aires) 55(4): 341-344, 1995

A case of Salmonella enteritidis septicemia associated with abdominal aortic aneurysm. Kansenshogaku Zasshi. Journal of the Japanese Association for Infectious Diseases 62(5): 495-499, 1988

Salmonella enteritidis abdominal aortic aneurysm in an HIV-infected patient. Presse Medicale 30(5): 221-222, 2002

Ruptured cryptogenic mycotic abdominal aortic aneurysm by Salmonella enteritidis. Annals of Vascular Surgery 27(7): 973.E9-17, 2014

Mycotic aneurysm of the abdominal aortic due to Salmonella enterica serotype enteritidis: a case report. Annales de Biologie Clinique 66(3): 324-326, 2008

A case of Salmonella enteritidis-infected abdominal aortic aneurysm in a patient with diabetes mellitus. Journal of the Japan Diabetes Society 47(5): 387-390, 2004

Thrombosis of an infrarenal aortic aneurysm secondary to Salmonella enteritidis infection. Revista de Gastroenterologia de Mexico 2019, 2019

Salmonella C infection of aortic abdominal aneurysm. Annali Italiani di Chirurgia 69(2): 215-220, 1998

Salmonella agona infection of abdominal aortic aneurysm. Irish Journal of Medical Science 147(11): 407-408, 1978

A man with a Salmonella dublin infection of the abdominal aortic aneurysm. Nederlands Tijdschrift Voor Geneeskunde 146(21): 1014, 2002

Ruptured abdominal aortic aneurysm: a complication of Salmonella bovis-morbificans infection. Australian and New Zealand Journal of Surgery 53(4): 371-373, 1983

Infection of an abdominal aortic aneurysm by Coxiella burnetti eight years after acute Q fever. Semaine des Hopitaux 70(7-8): 211-213, 1994

Abdominal aortic mycotic aneurysm, psoas abscess, and aorto-bisiliac graft infection due to Salmonella typhimurium. Journal of Infection and ChemoTherapy 11(6): 297-299, 2005

Abdominal aortic mycotic aneurysm, psoas abscess, and aorto-bisiliac graft infection due to Salmonella typhimurium (vol 11, pg 297, 2005). Journal of Infection and Chemotherapy 12(1): 52, 2006

A case of abdominal aortic pseudoaneurysm due to Salmonella enteritidis septicemia. Nihon Geka Gakkai Zasshi 93(2): 212-215, 1992