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[Salmonella bredney: a rare cause of mycotic aneurysm]

M H Jammal1, J Guidon, L Chiche

  • 1Service de médecine interne, hôpital Saint-Antoine, 184 rue du Faubourg-Saint-Antoine, Paris cedex, France.

La Revue De Medecine Interne
|June 12, 2010
PubMed

Insights

Mycotic aneurysms, often asymptomatic, pose a rupture risk. This case highlights Salmonella bredney causing a ruptured popliteal aneurysm, emphasizing the need for prompt diagnosis and treatment.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Microbiology

Background:

  • Mycotic aneurysms are rare vascular infections, historically linked to Streptococcus and Staphylococcus.
  • Salmonella species are increasingly implicated, particularly in elderly or immunocompromised individuals.
  • These aneurysms can occur in various locations, commonly the aorta, but rarely elsewhere.

Observation:

  • This report details a rare case of a ruptured popliteal artery aneurysm.
  • The patient presented with Salmonella bredney bacteremia.

Findings:

  • The case demonstrates Salmonella bredney as a causative agent of mycotic aneurysms in a peripheral artery.
  • Ruptured popliteal aneurysms due to Salmonella bacteremia are a critical, potentially life-threatening condition.

Implications:

  • Highlights the importance of considering Salmonella in mycotic aneurysm etiology, especially in vulnerable populations.
  • Underscores the need for timely antibiotic therapy and surgical intervention to prevent catastrophic rupture.
  • Suggests broadening the differential diagnosis for peripheral aneurysms to include infectious causes.

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