title: Concurrent Salmonella mycotic abdominal aneurysm and empyema thoracis: a rare coincidence.
abstract: OBJECTIVE
  To present a case of Salmonella bacteremia with a rare metastatic focus.
  
  
  METHODS
  A 61-year-old male presented with a suicide attempt after ingestion of half a bottle of toilet cleaner. He had a medical history of intravenous drug abuse and major depression. Persistent Salmonella enteritidis bacteremia occurred during his hospitalization, and a search for the primary source of infection disclosed a mycotic abdominal aortic aneurysm. A suppurative lesion was also noted over the left pleural space, and Salmonella empyema was confirmed after thoracentesis. He underwent video-assisted thoracoscopic surgery and endovascular repair of the abdominal aortic aneurysm and was placed on long-term antibiotics, without recurrence.
  
  
  CONCLUSIONS
  S. enteritidis involvement of the cardiovascular system is a rare coincidence and results in significant morbidity and mortality. In addition, the phenomenon of secondary metastatic infective foci involving the pleural space has an even lower frequency than that of cardiovascular involvement. Therefore, a high index of suspicion and prompt treatment from the treating physicians are strongly recommended.
authors: Renal Division, Department of Internal Medicine, National Taiwan University Hospital Jin-Shan Branch, New Taipei, Taiwan, ROC.
authors: Chia-Ter
authors: CT
authors: Chao
mesh_terms: D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D016724:Empyema, Pleural / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D012477:Salmonella enteritidis