title: A case report of endovascular stenting in Salmonella mycotic aneurysm: a successful procedure in an immunocompromised patient.
abstract: BACKGROUND
  Mycotic aneurysms are associated with high mortality rates and are managed in the local setting with extra-anatomical bypass followed by ligation, exclusion and debridement of the aneurysm. This is the first case of successful endovascular stenting in an immunocompromised patient with Salmonella mycotic aneurysm.
  
  
  METHODS
  A middle-aged man who was HIV positive had Salmonella septicaemia. He developed abdominal pain 5 days after admission and a computed tomography (CT) scan of the abdomen revealed infrarenal aortitis. He developed a mycotic aneurysm 3 weeks later.
  
  
  METHODS
  He opted for endovascular stenting and after prolonged antibiotic therapy and negative blood cultures, he underwent the procedure using a Talent stent, with an iliac extension.
  
  
  RESULTS
  He was discharged 1 week after stenting and maintained on oral bactrim based on sensitivity. At 1-year follow-up, he remains well symptomatically and CT scan showed no endoleak or collection.
  
  
  CONCLUSIONS
  Endovascular stenting, though a fairly new procedure, can be successfully deployed even in a mycotic aneurysm in the right setting.
authors.affiliation: Section of Vascular Surgery, Department of General Surgery, Tan Tock Seng Hospital, Singapore.
authors.forename: Ming Hian
authors.initials: MH
authors.lastname: Kam
authors.forename: Lim Kai
authors.initials: LK
authors.lastname: Toh
authors.forename: Seck Guan
authors.initials: SG
authors.lastname: Tan
authors.forename: Daniel
authors.initials: D
authors.lastname: Wong
authors.forename: Kok Hoong
authors.initials: KH
authors.lastname: Chia
mesh_terms: D000785:Aneurysm, Infected / Q000188:drug therapy / Q000601:surgery* / Q000628:therapy; D015658:HIV Infections / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012477:Salmonella enteritidis; D015607:Stents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D015662:Trimethoprim, Sulfamethoxazole Drug Combination