Mediastinal rupture of a thoracoabdominal mycotic aneurysm caused by Salmonella typhimurium in an immunocompromised patient.
A case is presented of rupture of a mycotic thoracoabdominal aneurysm caused by Salmonella typhimurium in a patient on immunosuppressive therapy following kidney transplantation. After initial medical treatment, surgery consisted of local debridement and implantation of an aortic prosthesis. Lifelong antibiotic treatment was prescribed because of the combination of immunosuppressive therapy, the history of recurrent S. typhimurium bacteremia and the presence of an aortic prosthesis.
Bogers
A J
AJ
Department of Thoracic Surgery, University Hospital Leiden, The Netherlands.
van't Wout
J W
JW
Cats
V M
VM
Quaegebeur
J M
JM
Huysmans
H A
HA
D000785:Aneurysm, Infected / Q000150:complications* / Q000209:etiology; D001012:Aorta, Abdominal; D001013:Aorta, Thoracic; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications* / Q000209:etiology; D012486:Salmonella typhimurium