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Characterizing Salmonella Typhimurium-induced Septic Peritonitis in Mice
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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
Summary
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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