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[A case of abdominal aortic pseudoaneurysm due to Salmonella enteritidis septicemia]
1Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Japan.
Abstract:
A 66-year-old man suffering from high fever and abdominal pain was diagnosed as abdominal aortic pseudoaneurysm due to Salmonella enteritidis septicemia. After complete remission of infection with the antibiotic therapy, we performed a replacement of abdominal aorta with a prosthetic graft. Infection parameters are normal 5 months postoperatively. Although Salmonella septicemia is a serious disorder, it is not a rare infection recently as compromised host increases more. Rapid diagnosis, adequate antibiotic therapy and surgical treatment are essential for successful result of Salmonella aortic aneurysm.
Insights
Salmonella enteritidis septicemia can cause aortic aneurysms. Prompt antibiotic treatment and surgical repair are crucial for successful outcomes in these serious infections.
Area of Science:
- Infectious Diseases
- Vascular Surgery
- Cardiovascular Medicine
Background:
- Salmonella enteritidis septicemia is an increasing concern, particularly in immunocompromised individuals.
- Aortic aneurysms, especially pseudoaneurysms, present significant clinical challenges.
- The interplay between infection and vascular complications requires careful management.
Observation:
- A 66-year-old male presented with fever and abdominal pain, diagnosed with abdominal aortic pseudoaneurysm secondary to Salmonella enteritidis septicemia.
- Initial management involved antibiotic therapy leading to complete remission of the infection.
- Following infection control, surgical intervention was performed, involving abdominal aorta replacement with a prosthetic graft.
Findings:
- Postoperative infection markers normalized within 5 months, indicating successful treatment.
- The case highlights the successful management of a complex Salmonella-induced aortic pseudoaneurysm.
- This demonstrates the efficacy of a combined medical and surgical approach.
Implications:
- Early diagnosis and appropriate antibiotic therapy are critical for managing Salmonella septicemia.
- Surgical intervention is essential for treating Salmonella aortic aneurysms after infection control.
- This case underscores the importance of considering infectious etiologies in aortic pathology, especially in at-risk populations.