Salmonella infection of a ventricular aneurysm.
We describe a diagnostically challenging case of infection due to a species of Salmonella in a ventricular aneurysm. Two-dimensional transthoracic echocardiography, gallium 67 scanning, and cardiac gated magnetic resonance imaging were required to make the diagnosis. Antimicrobial therapy alone was insufficient and included intravenously administered ciprofloxacin, which has been reported to be effective in refractory cases of salmonella bacteremia. The diagnosis was confirmed at surgery, which was required to achieve clinical cure. Among six previously reported cases, only one individual survived.
O'Neill
D M
DM
Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Landis
S J
SJ
Carey
L S
LS
D000890:Anti-Infective Agents / Q000627:therapeutic use*; D017024:Chemotherapy, Adjuvant; D004452:Echocardiography; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
D000890:Anti-Infective Agents