[Salmonella aortitis complicated by rupture. Diagnostic and therapeutic problems].
We observed a case of aortitis due to Salmonella in a patient with spondylodiscitis. Outcome was fatal despite resection and grafting, extensive drainage and adapted but unsuccessful antibiotic treatment. Based on the literature, suggested treatment for patients with spondylodiscitis includes extra-anatomic bypass combined with resection of the infected tissue and adapted antibiotherapy. In these emergency cases, computed tomography is the most useful exploration and also gives the diagnosis of spondylodiscitis. It is also necessary to identify the infectious agent to adapt the antibiotics.
Farah
I
I
Service de Chirurgie vasculaire, C.H.U. Grenoble.
Giudicelli
H
H
Voirin
L
L
Magne
J L
JL
Durand
M
M
Gayard
J P
JP
Charvin
B
B
Granger
P
P
Chavanon
O
O
D000368:Aged; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001025:Aortitis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008297:Male; D012480:Salmonella Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
Aortite à salmonelles, compliquée de rupture. Problèmes diagnostiques et thérapeutiques.