Mycotic Aortic Aneurysm Secondary to Salmonella enterica Infection: A Case Report and Treatment Approach.
| Autor: | Elshweikh SA; Internal Medicine/Hematology, Tanta University, Tanta, EGY., Abdellatif Ibrahim A; Vascular Surgery, Zagazig University, Zagazig, EGY., Saleh Almutairi W; Radiology, Buraidah Central Hospital, Qassim, SAU., AlHarbi F; Pulmonology, Buraidah Central Hospital, Qassim, SAU., Alrasheedi AA; Pulmonology, Buraidah Central Hospital, Qassim, SAU., Negm Eldine Said Mubark A; Infectious Diseases, Buraidah Central Hospital, Qassim, SAU., Ibrahim Basha E; Clinical Pathology, Buraidah Central Hospital, Qassim, SAU., Elkolaly RM; Chest Diseases, Faculty of Medicine, Tanta University, Tanta, EGY. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Mar 18; Vol. 16 (3), pp. e56399. Date of Electronic Publication: 2024 Mar 18 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.56399 |
| Abstrakt: | Mycotic (infected) aortic aneurysm is a severe clinical condition with high morbidity and mortality. Salmonella spp. is a Gram-negative, rod-shaped bacteria that is typically limited to the gastrointestinal tract and resolves spontaneously but can progress to invasive infections such as bacteremia. Serious complications may arise, particularly in debilitated, elderly, and neonatal patients. We describe the case of a 74-year-old female with a history of diabetes and hypertension who presented with shortness of breath, fever, chills, abdominal pain, vomiting, and diarrhea. The patient's blood culture tested positive for Salmonella enterica , and she was given ceftriaxone based on the results, but he remained symptomatic. A computed tomography scan of the chest with contrast revealed a mycotic aneurysm of the thoracic aorta. The patient was urgently transferred to a higher level of care and underwent emergency thoracic endovascular aortic repair with stenting and intravenous antibiotics. The presence of an infected aneurysm and associated abscess formation in such high-risk patients makes the endovascular approach more suitable than other options such as open surgery, aneurysmal excision and ligation without arterial reconstruction, excision with immediate reconstruction, and excision with interval reconstruction. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Elshweikh et al.) |
| Databáze: | MEDLINE |
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