Perigraft infections due to Salmonella after abdominal aortic aneurysm repair.
A 70-year-old man with abdominal aortic aneurysm repair presented with fever accompanied by rigors and abdominal pain one month after the procedure. Radiological investigations showed a perigraft collection. The collection was drained and the abscess cavity was lavaged. Cultures of pus and blood both yielded Group D Salmonella (non-typhi), which was treated with ceftriaxone and ciprofloxacin. The patient was followed-up for the past eight months without any further symptoms. Perigraft infections post abdominal aortic aneurysm repair could be caused by enteric organisms and must be treated with long-term appropriate antibiotics, depending on the microbiological finding, besides surgical drainage and lavage.
Viswanathan
R
R
Department of Laboratory Services, RIPAS Hospital, Ministry Of Health, Bandar Seri Begawan, Brunei Darussalam. ruvishy@rediffmail.com
Khee
T K
TK
Chong
C F
CF
D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications / Q000628:therapy*; D000890:Anti-Infective Agents; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000628:therapy*; D006801:Humans; D007249:Inflammation; D008297:Male; D012475:Salmonella / Q000378:metabolism*; D012480:Salmonella Infections / Q000150:complications / Q000209:etiology* / Q000382:microbiology; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
D000890:Anti-Infective Agents