title: Non-typhoid Salmonella mycotic aneurysm of the aortic arch.
abstract: 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.
authors.affiliation: Department of Medicine, Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.
authors.forename: Stella P Y
authors.initials: SP
authors.lastname: Wong
authors.forename: Thomas K K
authors.initials: TK
authors.lastname: Lai
authors.forename: W L
authors.initials: WL
authors.lastname: Ng
authors.forename: W K
authors.initials: WK
authors.lastname: Luk
mesh_terms: 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