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Published on: April 17, 2020

Concurrent Salmonella mycotic abdominal aneurysm and empyema thoracis: a rare coincidence

Chia-Ter Chao1

  • 1Renal Division, Department of Internal Medicine, National Taiwan University Hospital Jin-Shan Branch, New Taipei, Taiwan, ROC.

Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre
|February 8, 2014
PubMed
Abstract

Insights

This case report details a rare instance of Salmonella enteritidis bacteremia leading to a mycotic abdominal aortic aneurysm and Salmonella empyema. Prompt diagnosis and treatment are crucial for managing these severe, uncommon infections.

Area of Science:

  • Infectious Diseases
  • Cardiovascular Medicine
  • Pulmonology

Background:

  • Salmonella bacteremia is a serious condition, often originating from the gastrointestinal tract.
  • Cardiovascular and pleural space involvement represent rare but severe metastatic complications.

Observation:

  • A 61-year-old male with a history of intravenous drug abuse and depression developed persistent Salmonella enteritidis bacteremia after a suicide attempt.
  • Infection led to a mycotic abdominal aortic aneurysm and a secondary Salmonella empyema in the left pleural space.

Findings:

  • The patient underwent surgical repair of the abdominal aortic aneurysm and video-assisted thoracoscopic surgery for the empyema.
  • Long-term antibiotic therapy resulted in successful treatment without recurrence.

Implications:

  • This case highlights the importance of considering rare metastatic complications in Salmonella bacteremia.
  • Early recognition and aggressive management are vital for improving outcomes in patients with cardiovascular and pleural Salmonella infections.

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