Hemoptysis From a Ruptured Mycotic Aneurysm Caused by Salmonella

Summary 

Although an uncommon cause of hemoptysis, fistulas between the aorta and the airway (especially the left bronchopulmonary tree) are frequently associated with infected aneurysms of the thoracic aorta and are fatal if not diagnosed and surgically treated. We report a case of mycotic aneurysm in a 74-year-old man who presented with hemoptysis. This patient complained of blood-tinged sputum and chest pain initially, and the chest X-ray showed an aortic aneurysm. The chest computed tomography scan revealed the aneurysm ruptured into the lung parenchyma. Urgent graft replacement was performed successfully after diagnosis. Tissue culture yielded nontyphoidal Salmonella

Key Words:  endovascular graft repair , hemoptysis , mycotic aneurysm , ruptured aortic aneurysm , Salmonella infections

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