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Salmonella aortitis successfully treated with antibiotics without surgery.
Gabriel Melki1, Mina Fransawy Alkomos1, Fnu Komal1
1Internal Medicine Department, St. Joseph's University Medical Center, Paterson, NJ, USA.
Summary
A rare case of aortitis caused by Salmonella Septicemia was successfully treated with antibiotics. The patient remained asymptomatic with normalized inflammatory markers after treatment.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Rheumatology
Background:
- Aortitis, an inflammation of the aorta, is often associated with large vessel vasculitis and rheumatologic conditions.
- Infectious causes of aortitis are less common but can lead to significant morbidity and mortality.
- A high index of suspicion is crucial for diagnosing aortitis, especially in complex cases.
Observation:
- This report details a rare instance of aortitis stemming from Salmonella Septicemia.
- The patient received a six-week course of antibiotics for the infection.
- The treatment was administered in a hospital setting.
Findings:
- The patient remained asymptomatic following the antibiotic treatment.
- Key inflammatory markers, including erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and white blood cell (WBC) counts, normalized within two weeks of follow-up.
- This suggests a complete resolution of the inflammatory process.
Implications:
- This case highlights the importance of considering infectious etiologies, such as Salmonella, in cases of aortitis.
- Prompt and appropriate antibiotic therapy can lead to favorable outcomes in infectious aortitis.
- Early diagnosis and treatment are critical for managing the high mortality and morbidity associated with aortitis.
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