Mycotic aneurysm of a coronary artery in SLE--a rare complication of salmonella infection.
We describe a 27y old female systemic lupus erythematosus (SLE) patient with salmonella bacteraemia who presented with fever, back pain and an enlarging heart size. A two dimensional echocardiogram (2D Echo) showed a mass in the right atrium. Subsequent computer tomographic (CT) and magnetic resonance imaging (MRI) studies showed that this had become a ring shaped lesion at the posterior end of the interventricular septum with an area communicating with the right atrial cavity. At operation a ruptured mycotic aneurysm of the right coronary artery was found. This is the first report of an SLE patient with a coronary artery mycotic aneurysm due to salmonella and the first reported case of survival following rupture of such aneurysm.
Howe
H S
HS
Department of Rheumatology and Immunology, Tan Tock Seng Hospital, Singapore.
Wong
J S
JS
Ding
Z P
ZP
Sivathasan
C
C
Ang
B
B
Koh
W H
WH
Feng
P H
PH
D000328:Adult; D000785:Aneurysm, Infected / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016470:Bacteremia; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications; D012480:Salmonella Infections / Q000150:complications*; D014057:Tomography, X-Ray Computed