[Salmonella aortic valve endocarditis presenting with rupture of a femoral artery mycotic aneurysm].
The incidence of Salmonella enteritidis infections has greatly increased over the last few years. Cardiovascular are amongst the most severe extra-digestive complications. The authors report a case of Salmonella enteritidis presenting with rupture of a femoral artery mycotic aneurysm in a chronic alcoholic patient. Salmonella enteritidis was isolated from blood cultures and the operation specimen after the obligatory limb amputation. The outcome was finally favourable after appropriate antibiotic therapy with a residual, stable grade 3 aortic regurgitation. This rare condition is generally observed in immuno-compromised subjects and carries a high mortality (40 to 70% of cases). The initial infectious signs may be masked, and, in these cases, rupture of an aneurysm is often the mode of presentation. Rapid treatment is essential with, ideally, resection of the aneurysm with reestablishment of arterial continuity and adapted, prolonged antibiotic therapy.
Mourot
S
S
Service de pathologie cardiovasculaire, HIA Laveran, boulevard A.-Laveran, 13998 Marseille-Armées.
Fourcade
L
L
Héno
P
P
Paule
P
P
Bailly
J L
JL
Rivière
P
P
Mafart
B
B
Touze
J E
JE
D000437:Alcoholism / Q000150:complications; D000785:Aneurysm, Infected / Q000209:etiology* / Q000473:pathology; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000473:pathology; D001021:Aortic Valve / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000150:complications*; D005263:Femoral Artery / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications*