International Journal of Gerontology
Volume 1, Issue 3 , Pages 134-137, September 2007

Salmonella Aortic Aneurysm: A Patient with Nonspecific Type of Low-Back and Abdominal Pain

Emergency Department, Mackay Memorial Hospital, Taipei, Taiwan

Accepted 14 July 2007.

Article Outline

SUMMARY 

Infected aortic aneurysms are uncommon. Their nonspecific clinical symptoms make them easy for doctors to miss, and then severe complications and high mortality come weeks later. We present a 73-year-old man who had nonspecific low-back pain and was found to have infectious aortitis with positive culture of Salmonella. His condition changed from a non-dilating aorta with periaortic air to a nearly ruptured pseudoaneurysm over 1 month. After receiving a grafting surgery with antibiotic therapy, the patient was discharged under stable conditions. Relevant literature is also reviewed.

Key Words:  infectious aortitis , mycotic aneurysm , Salmonella

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Dehlinger KR . Salmonella osteomyelitis of the spine associated with abdominal aortic aneurysm. Report of a case . N Engl J Med . 1948;238:728–732
  2. Ewart JM , Burke ML , Bunt TJ . Spontaneous abdominal aortic infections. Essentials of diagnosis and management . Am Surg . 1983;49:37–50
  3. Hsu RB , Chen RJ , Wang SS , Chu SH . Infected aortic aneurysms: clinical outcome and risk factor analysis . Ann Vasc Surg . 2004;40:30–35
  4. Salzberger LA , Cavuoti D , Barnard J . Fatal Salmonella aortitis with mycotic aneurysm rupture . Am J Forensic Med Pathol . 2002;23:382–385
  5. Hsu RB , Chen RJ , Wang SS , Chu SH . Infected aortic aneurysms: clinical outcome and risk factor analysis . J Vasc Surg . 2004;40:30–35
  6. Stephens CT , Pounds LL , Killewich LA . Rupture of a nonaneurysmal aorta secondary to Staphylococcus aortitis . Angiology . 2006;57:506–512
  7. Gelabert HA , Quinones-Baldrich WJ . Mycotic aneurysm of the suprarenal aorta secondary to Streptococcus pneumoniae : an unusual pathogen . Ann Vasc Surg . 1991;5:529–532
  8. Cicconi V , Mannino S , Caminiti G , Cuoco L , Gasbarrini A , Vecchio F , et al.   Salmonella aortic aneurysm: suggestions for diagnosis and therapy based on personal experience— a case report . Angiology . 2004;55:701–705
  9. Mundth ED , Darling RC , Alvarado RH , Buckley MJ , Linton RR , Austen WG . Surgical management of mycotic aneurysms and the complications of infection in vascular reconstructive surgery . Am J Surg . 1969;117:460–470
  10. Bennett DE , Cherry JK . Bacterial infection of aortic aneurysms. A clinicopathologic study . Am J Surg . 1967;113:321–326
  11. Mendelowitz DS , Ramstedt R , Yao JS , Bergan JJ . Abdominal aortic salmonellosis . Surgery . 1979;85:514–519
  12. Bronze MS , Shirwany A , Corbett C , Schaberg DR . Infectious aortitis: an uncommon manifestation of infection with Streptococcus pneumoniae . Am J Med . 1999;107:627–630
  13. Hsu RB , Tsay YG , Wang SS , Chu SH . Management of aortic aneurysm infected with Salmonella . Br J Surg . 2003;90:1080–1084
  14. Gomes MN , Choyke PL , Wallace RB . Infected aortic aneurysms: a changing entity . Ann Surg . 1992;215:435–442
  15. Fernandez Guerrero ML , Aguado JM , Arribas A , Lumbreras C , de Gorgolas M . The spectrum of cardiovascular infections due to Salmonella enterica : a review of clinical features and factors determining outcome . Medicine (Baltimore) . 2004;83:123–138
  16. Bayer AS , Scheld WM . Endocarditis and intravascular infections . In:  Mandell GL ,  Bennett JE ,  Dolin R editor. Principles and Practice of Infectious Diseases . 5th edition. Philadelphia: Churchill Livingstone; 2000;p. 857–902
  17. Oz MC , Brener BJ , Buda JA , Todd GJ , Brenner RW , Goldenkranz RJ , et al.   A ten-year experience with bacterial aortitis . J Vasc Surg . 1989;10:439–449
  18. Maclennan AC , Doyle DL , Sacks SL . Infectious aortitis due to penicillin-resistant Streptococcus pneumoniae . Ann Vasc Surg . 1997;19:533–535
  19. Barlow GD , Green ST . A patient with fever and an abdominal aortic aneurysm . Postgrad Med J . 1999;75:479–480

PII: S1873-9598(08)70035-8

doi:10.1016/S1873-9598(08)70035-8

International Journal of Gerontology
Volume 1, Issue 3 , Pages 134-137, September 2007

Article Tools