Left vocal cord palsy: an unusual presentation of a mycotic aneurysm of the aorta caused by Salmonella cholerasuis.
A 67-year-old man was admitted to hospital because of fever, productive cough and a concomitant hoarseness. A para-aortic lesion was found on chest X-ray, and bronchoscopy revealed a left vocal cord palsy. Due to rapid enlargement of the lesion, angiography was performed, which revealed a pseudoaneurysm at the descending aorta. Operation disclosed an infected aneurysm with rupture, and tissue culture yielded Salmonella cholerasuis. The findings of a mycotic aneurysm and hoarseness due to compression of the left recurrent laryngeal nerve is a rare and serious combination caused by salmonella, previously unreported in the medical literature.
Chan
P
P
Institute of Clinical Medicine, National Yang Ming Medical College, Taiwan.
Huang
J J
JJ
Yang
Y J
YJ
D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications* / Q000382:microbiology; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012009:Recurrent Laryngeal Nerve; D012475:Salmonella / Q000302:isolation & purification; D012480:Salmonella Infections / Q000150:complications* / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D014826:Vocal Cord Paralysis / Q000209:etiology*