[Aortitis due to Salmonella].
METHODS
A 72-year-old man received treatment with amoxicillin/clavulanic acid because of fever and abdominal pain as an outpatient setting. Salmonella enteritidis infection was confirmed by a positive blood culture. The febrile patient showed abdominal tenderness on palpation.


METHODS
CT and PET scans revealed an aneurysmatic soft tissue inflammation which was interpreted as infectious aortitis in the context of salmonella bacteraemia.


METHODS
After several weeks of antibiotic treatment with ceftriaxone, an elective reconstruction using xenopericard with replacement of the mesenterial vessels was performed. After a postoperative course of antibiotics the patient recovered completely.


CONCLUSIONS
In patients with positive blood cultures for Salmonella in combination with fever, back or abdominal pain a workup for infectious aortitis and a rapid treatment is recommended.
Medizinische Klinik, Spital Zollikerberg, Schweiz.
T
T
Stelzer
Medizinische Klinik, Spital Zollikerberg, Schweiz.
L T
LT
Heuss
Medizinische Klinik, Spital Zollikerberg, Schweiz.
R
R
Schorn
D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D001012:Aorta, Abdominal / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D001025:Aortitis / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery; D016470:Bacteremia / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007089:Image Enhancement; D008297:Male; D049268:Positron-Emission Tomography; D012480:Salmonella Infections / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery; D012477:Salmonella enteritidis; D014057:Tomography, X-Ray Computed
D019788:Fluorodeoxyglucose F18