Non-typhoid Salmonella mycotic aneurysm of the aortic arch.
Salmonella mycotic aneurysm is a rare but potentially fatal condition. Mortality is high without timely intervention. The clinical presentation is protean and early diagnosis requires a high degree of clinical alertness. Prompt surgical intervention and prolonged antimicrobial therapy are keys to successful treatment. We report an 81-year-old man with an atypical presentation of Salmonella mycotic aneurysm in the aortic arch. The case highlights the need to evaluate all patients over 50 years with non-typhoid Salmonella bacteraemia for possible endovascular infections. Contrast-enhanced computed tomography is useful for making an early diagnosis of this disease.
Wong
Stella P Y
SP
Department of Medicine, Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.
Lai
Thomas K K
TK
Ng
W L
WL
Luk
W K
WK
D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D001013:Aorta, Thoracic / Q000382:microbiology* / Q000473:pathology; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D017023:Coronary Angiography; D005516:Food Microbiology; D006723:Hong Kong; D006801:Humans; D008297:Male; D012475:Salmonella / Q000302:isolation & purification*; D012480:Salmonella Infections / Q000175:diagnosis* / Q000628:therapy