A mycotic aneurysm related to Salmonella Rissen infection: a case report

Jakub Nagrodzki1,2, Katherine E Sharrocks3, Vanessa K Wong3,4

  • 1School of Clinical Medicine, University of Cambridge, Cambridge, CB2 0SP, UK. jn355@cam.ac.uk.

BMC Infectious Diseases
|February 2, 2020
PubMed
Abstract

Insights

This case study details a rare mycotic aneurysm caused by Salmonella Rissen infection. Early diagnosis and surgical intervention were crucial for successful treatment of this serious complication.

Area of Science:

  • Infectious Diseases
  • Vascular Surgery
  • Microbiology

Background:

  • Salmonella species are common human pathogens.
  • Mycotic aneurysms are a serious complication of Salmonella infections.
  • This report details the first case of a mycotic aneurysm secondary to Salmonella Rissen.

Observation:

  • A patient presented with prolonged lower back pain and chills.
  • Recent travel history to Hong Kong and Taiwan.
  • Imaging revealed an internal iliac artery aneurysm with an adjacent infected collection.

Findings:

  • Stool culture confirmed Salmonella Rissen ST 469 EBG 66 via whole genome sequencing.
  • The patient underwent emergency surgical repair of the aneurysm.
  • Successful antibiotic treatment was administered.

Implications:

  • Highlights the importance of considering mycotic aneurysms in patients with unusual presentations of back pain and infection.
  • Underscores the need for prompt diagnosis and multidisciplinary management of Salmonella-related vascular complications.
  • Contributes to understanding the diverse clinical manifestations of Salmonella Rissen infections.

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