Salmonella Mycotic Aneurysm of the Aortic Arch: Case Report and Review

Salmonella mycotic aneurysms of the thoracic aorta are exceedingly rare. We describe what we believe is only the third reported case involving the aortic arch. The patient was treated with surgical intervention and a prolonged course of antibiotics, which resulted in long-term survival. We review 13...

Full description

Saved in:
Bibliographic Details
Published in:Clinical infectious diseases 1995-09, Vol.21 (3), p.523-528
Main Authors: Meerkin, David, Yinnon, Amos M., Munter, R. Gabriel, Shemesh, Ovadiah, Hiller, Nurith, Abraham, Abraham S.
Format: Article
Language:English
Subjects:
Adult
Aged
Aneurysm, Infected - diagnosis
Aneurysm, Infected - etiology
Aneurysm, Infected - therapy
Aneurysms
Anti-Bacterial Agents - therapeutic use
Antibiotics
Aorta
Aortic Aneurysm, Thoracic - diagnosis
Aortic Aneurysm, Thoracic - etiology
Aortic Aneurysm, Thoracic - therapy
Blood
Chest
Clinical Articles
Combined Modality Therapy
Endocarditis, Bacterial - complications
Female
Fever
Humans
Infections
Male
Middle Aged
Prognosis
Radiography
Salmonella
Salmonella Infections - diagnosis
Salmonella Infections - etiology
Salmonella Infections - therapy
Thoracic aorta
Tomography, X-Ray Computed
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Salmonella mycotic aneurysms of the thoracic aorta are exceedingly rare. We describe what we believe is only the third reported case involving the aortic arch. The patient was treated with surgical intervention and a prolonged course of antibiotics, which resulted in long-term survival. We review 13 previously reported cases of salmonella mycotic aneurysms of the thoracic aorta. The overall outcome was abysmal, with 10 of 13 patients dying within 1 month after the diagnosis was made. We discuss the pathogenesis, clinical presentation, diagnostic approach, and management (including surgical intervention and duration of antibiotic therapy) of this condition on the basis of the findings in these cases.
ISSN:1058-4838
1537-6591
DOI:10.1093/clinids/21.3.523