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Salmonella endarteritis, about two cases and their management
J P Kains1, J P Dereume, F Jacobs
1Department of Internal Medicine, CUB Hospital Erasme, Brussels, Belgium.
Abstract:
Mycotic aneurysms due to Salmonella are a classical but uncommon complication of Salmonella infections. We report two cases of such aneurysms, the first one having developed two successive aneurysms of the iliac arteries due to Salmonella typhimurium. The literature on Salmonella endarteritis is briefly reviewed. The importance of an aggressive surgical approach of the mycotic aneurysm, with removal of all infected material and extra-anatomic bypass through contaminated tissue is emphasized. The role of antibiotic treatment is also discussed.
Insights
Salmonella infections can rarely cause mycotic aneurysms, particularly in the iliac arteries. Aggressive surgical removal of infected material and bypass grafting are crucial for treating these Salmonella typhimurium complications.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Microbiology
Background:
- Mycotic aneurysms are rare but serious complications of Salmonella infections.
- Salmonella endarteritis, a key factor in mycotic aneurysm formation, is not well-documented.
Observation:
- Two cases of Salmonella-induced mycotic aneurysms are presented.
- The first case involved successive iliac artery aneurysms caused by Salmonella typhimurium.
Findings:
- Aggressive surgical intervention, including infected material removal and extra-anatomic bypass, is vital.
- The management strategy emphasizes surgical clearance and antibiotic therapy.
Implications:
- Early and aggressive surgical treatment improves outcomes for mycotic aneurysms.
- Understanding Salmonella endarteritis pathogenesis is key to preventing and managing these infections.