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Salmonella Typhimurium para-aortic root abscess managed non-surgically

Tarek Haykal1,2, Abdul Rahman Al Bizri3, Thair Dawood1,2

  • 1Hurley Medical Center, Department of Internal Medicine, Flint, MI, USA.

Idcases
|December 29, 2018
PubMed
Abstract

Insights

A rare para-aortic root abscess caused by Salmonella Typhimurium was successfully treated with antibiotics alone. This case highlights effective medical management for this destructive vascular condition, avoiding high-risk surgery.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Para-aortic root abscess is a serious vascular condition associated with high morbidity and mortality.
  • Infections involving Salmonella Typhimurium in this region are exceptionally rare and lack established treatment guidelines.

Purpose of the Study:

  • To report a unique case of para-aortic root abscess caused by Salmonella Typhimurium.
  • To describe the successful medical management of this rare condition.

Main Methods:

  • A 72-year-old male with a prosthetic aortic graft presented with symptoms of embolic stroke and fever.
  • Diagnostic imaging revealed a large para-aortic root abscess.
  • Blood cultures identified Salmonella Typhimurium, and the patient was treated with a prolonged course of intravenous and oral antibiotics.

Main Results:

  • The patient showed a positive response to antibiotic therapy, specifically ceftriaxone and ciprofloxacin.
  • Surgical intervention was deemed too high-risk, and medical management was pursued.
  • After 17 months of treatment, the patient remains clinically well on suppressive antibiotic therapy.

Conclusions:

  • Successful medical management of para-aortic root abscess due to Salmonella Typhimurium is possible.
  • This case expands treatment options for rare vascular infections, demonstrating the efficacy of non-surgical approaches.

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