Infectious aortitis caused by Salmonella Dublin followed by aneurysmal dilatation of the abdominal aorta.
Nakayama Masafumi,Fuse Koichi,Sato Masahito,Okabe Masaaki,Misumi Shigeki,Yamashina Akira,Yamamoto Kazuo,Yoshii Shinpei,Aizawa Yoshifusa
Internal medicine (Tokyo, Japan)
A 67-year-old woman was admitted for severe abdominal pain (stomach ache). Computed tomography (CT) revealed gas along the abdominal aortic wall. A blood culture was positive for Salmonella dublin, a gram-negative bacillus that is rare in humans. Treatment with an antibiotic improved the inflammatory signs; however, on the 11th hospital day, the patient complained of sudden severe abdominal pain. Enhanced CT revealed a pseudoaneurysm surrounded by a periaortic abscess. The infected aortic wall, including the aneurysm, was resected and an extra-anatomic bypass was constructed between the axillary artery and the external iliac arteries. The patient recovered fully and her course has been uneventful for the past two years since her discharge.
10.2169/internalmedicine.51.7937
[A men with a Salmonella dublin-infected aneurysm of the abdominal aorta].
Jacobs P P M,van Elsacker-Niele A M W,Visser I J R
Nederlands tijdschrift voor geneeskunde
A 71-year-old male was diagnosed with a Salmonella dublin infection. He presented with abdominal pain with no diarrhoea, and sepsis, and was found to have an infected aneurysm of the infrarenal abdominal aorta. He was treated surgically with resection of the aneurysm and implantation of an extra-anatomic axillobifemoral bypass, followed by long-term antibiotic treatment. Nine months after the primary treatment, the patient died as a result of rupture of the aortic stump. S. dublin-infected aneurysm of the abdominal aorta is a rare condition with high mortality. Human S. dublin infections are associated with the consumption of unpasteurised dairy products from infected animals.
Treatment of Ruptured Infected Abdominal Aortic Aneurysm Caused by Salmonella spp.: A Case Report.
Napiórkowska-Baran Katarzyna,Rosada Tomasz,Alska Ewa,Wawrzeńczyk Adam,Bartuzi Zbigniew
Infectious diseases and therapy
Despite significant advances in diagnostic methods, sepsis is still a current medical problem, and its complications contribute to increased mortality among different age groups. The article presents the case of a 71-year-old man who developed an inflammatory aneurysm of the abdominal aorta in the course of sepsis of Salmonella spp. etiology, followed by its rupture. The case confirms that we must not forget about rare, especially unusual complications, which may depend on the type of microorganism. Properly quick diagnosis allowed for the implementation of appropriate treatment and survival of the patient.
10.1007/s40121-021-00492-w