International Journal of Gerontology
Volume 3, Issue 2 , Pages 133-136, June 2009

Hemoptysis From a Ruptured Mycotic Aneurysm Caused by Salmonella

  • Yu-Chung Kung

      Affiliations

    • Division of Chest Medicine, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Wen-Yeh Hsieh

      Affiliations

    • Division of Chest Medicine, Department of Internal Medicine, Mackay Memorial Hospital, Hsinchu Branch, Hsinchu, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Wen-Yu Hsieh, Department of Internal Medicine, Mackay Memorial Hospital, 92, Chung-Shan North Road, Taipei, Taiwan
    • ,
  • Sen Sun

      Affiliations

    • Department of Cardiovascular Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Yu-Chen Chen

      Affiliations

    • Department of Pathology, Mackay Memorial Hospital, Taipei, Taiwan

Accepted 12 March 2009.

Article Outline

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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PII: S1873-9598(09)70035-3

doi:10.1016/S1873-9598(09)70035-3

International Journal of Gerontology
Volume 3, Issue 2 , Pages 133-136, June 2009

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