title: [Vascular complication of an acute pyelonephritis].
abstract: This article reports a rare case of acute pyelonephritis with bacteriemia due to non-tiphoidal Salmonella associated with a mycotic aneurysm. The patient was a 75-year-old woman without histories of immunosuppression or urologic deformation. It was about a patient presenting a feverish access and urinary symptoms. Blood culture and urine culture showed Salmonella enteritidis; in spite of a prolonged antibiotic treatment, the multiple bacteriological explorations remained positive. The research for this infection source allowed the discovery of a thoracic aorta aneurysm with hypermetabolism in the PET-scan carrying the diagnosis of mycotic aneurysm. Urinary salmonellosis represents 0.07% (Tena et al., 2007 [1]) of the urinary tract infections. They are rarely found in healthy patients; their eradication can turn out to be difficult when the infection source persists.
authors.affiliation: Service de chirurgie urologique, groupe hospitalier public du Sud de l'Oise, BP 69, 60109 Creil cedex, France. eric_alezra@hotmail.fr
authors.forename: E
authors.initials: E
authors.lastname: Alezra
authors.forename: J
authors.initials: J
authors.lastname: Fretin
authors.forename: F
authors.initials: F
authors.lastname: Saint
authors.forename: G
authors.initials: G
authors.lastname: Raynal
mesh_terms: D000208:Acute Disease; D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000382:microbiology*; D005260:Female; D006801:Humans; D011704:Pyelonephritis / Q000150:complications* / Q000382:microbiology*; D012480:Salmonella Infections / Q000150:complications*; D012477:Salmonella enteritidis