Management of aortic aneurysm infected with Salmonella.
BACKGROUND
This study reviewed the clinical outcomes of patients with an aortic aneurysm infected with Salmonella treated by a single centre over 6 years.


METHODS
Data were collected by a retrospective case-note review.


RESULTS
Between September 1995 and December 2001, 121 patients with non-typhoid Salmonella bacteraemia were treated, of whom 24 patients had an aortic aneurysm infected with Salmonella. Ten had a suprarenal and 14 an infrarenal aortic infection. The most common responsible pathogen was group C Salmonella (12 patients). All of the 20 patients who had combined medical and surgical therapy survived, whereas two of four who had medical therapy alone died. There were two late deaths during a mean follow-up of 23 (range 3-63) months.


CONCLUSIONS
The incidence of aortic infection in patients with non-typhoid Salmonella bacteraemia was high in Taiwan. Timely surgical intervention and prolonged intravenous antibiotic therapy resulted in excellent outcomes.
Hsu
R B
RB
Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan 100, Republic of China. shchu@ha.mc.nyu.edu.tw
Tsay
Y G
YG
Wang
S S
SS
Chu
S H
SH
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D000785:Aneurysm, Infected / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D017544:Aortic Aneurysm, Abdominal / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D016470:Bacteremia / Q000209:etiology; D002443:Ceftriaxone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005334:Fever / Q000209:etiology; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012480:Salmonella Infections / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*
D002511:Cephalosporins; D002443:Ceftriaxone