Salmonella reinfection manifesting as a fistula between the duodenum and an aortic stump pseudoaneurysm.
Despite the worldwide increase in Salmonella infections, a Salmonella infection of an aortic graft is an exceptional event. A Salmonella reinfection manifesting as a fistula between the duodenum and an aortic stump pseudoaneurysm 30 months after prosthetic excision, aortic ligature and extra-anatomic bypass for a Salmonella graft infection is a unique event. This unusual late complication described in this case report developed in 1 of the 5 patients whose Salmonella aortic graft infections have been previously reported. The reinfection causing septic aortitis responded to conventional surgery.
Taurino
M
M
Department of Vascular Surgery, S. Andrea Hospital, La Sapienza University of Rome, Rome, Italy. maurizio.taurino@uniroma1.it
Rizzo
L
L
Liberatore
M
M
Maraglino
C
C
Verrienti
T
T
D000368:Aged; D017541:Aneurysm, False / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000382:microbiology; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D005500:Follow-Up Studies; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D018810:Magnetic Resonance Angiography; D008297:Male; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000382:microbiology; D012008:Recurrence; D012480:Salmonella Infections / Q000209:etiology* / Q000382:microbiology; D012486:Salmonella typhimurium / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology