Non-typhoid Salmonella mycotic aneurysm of the aortic arch

Hong Kong Med J. 2007 Jun;13(3):234-7.

Abstract

Salmonella mycotic aneurysm is a rare but potentially fatal condition. Mortality is high without timely intervention. The clinical presentation is protean and early diagnosis requires a high degree of clinical alertness. Prompt surgical intervention and prolonged antimicrobial therapy are keys to successful treatment. We report an 81-year-old man with an atypical presentation of Salmonella mycotic aneurysm in the aortic arch. The case highlights the need to evaluate all patients over 50 years with non-typhoid Salmonella bacteraemia for possible endovascular infections. Contrast-enhanced computed tomography is useful for making an early diagnosis of this disease.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aneurysm, Infected / diagnosis*
  • Aneurysm, Infected / microbiology*
  • Aneurysm, Infected / therapy
  • Aorta, Thoracic / microbiology*
  • Aorta, Thoracic / pathology
  • Aortic Aneurysm, Thoracic / diagnosis*
  • Aortic Aneurysm, Thoracic / microbiology*
  • Aortic Aneurysm, Thoracic / therapy
  • Coronary Angiography
  • Food Microbiology
  • Hong Kong
  • Humans
  • Male
  • Salmonella / isolation & purification*
  • Salmonella Infections / diagnosis*
  • Salmonella Infections / therapy