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Non-typhoid Salmonella mycotic aneurysm of the aortic arch

Stella P Y Wong1, Thomas K K Lai, W L Ng

  • 1Department of Medicine, Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|June 6, 2007
PubMed

Insights

Salmonella mycotic aneurysms are rare, life-threatening infections. Early diagnosis and treatment, including surgery and antibiotics, are crucial for survival, especially in older adults with Salmonella bacteraemia.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Medical Diagnostics

Background:

  • Salmonella mycotic aneurysm is a rare but severe condition with high mortality if untreated.
  • Atypical presentations can delay diagnosis, necessitating a high index of clinical suspicion.

Observation:

  • An 81-year-old male presented with an unusual aortic arch Salmonella mycotic aneurysm.
  • The patient's presentation was atypical, underscoring the protean nature of this infection.

Findings:

  • Prompt surgical intervention and extended antimicrobial therapy are vital for successful outcomes.
  • Contrast-enhanced computed tomography (CECT) aids in early and accurate diagnosis.

Implications:

  • All individuals over 50 with non-typhoid Salmonella bacteraemia should be assessed for endovascular infections.
  • Timely diagnosis and multidisciplinary management are essential to reduce mortality associated with Salmonella mycotic aneurysms.

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