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Mycotic abdominal aortic aneurysm: two cases caused by Salmonella enterica

Nehir Tandogar1, M Öcalmaz1

  • 1Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Cardiovascular Journal of Africa
|June 10, 2022
PubMed

Insights

Two patients with abdominal aortic aneurysms caused by Salmonella enterica infection were successfully treated with surgery and antibiotics. This highlights the importance of identifying and treating Salmonella infections in mycotic aneurysms.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Radiology

Background:

  • Mycotic abdominal aortic aneurysms (MAAA) are rare but life-threatening conditions.
  • Prompt diagnosis and treatment are crucial for patient survival.

Observation:

  • Computed tomographic angiography revealed MAAA in two male patients presenting with non-specific symptoms.
  • Surgical repair (open or endovascular) was performed based on patient co-morbidity.

Findings:

  • Pre-operative cultures and pathological examination identified Salmonella enterica as the causative agent in both cases.
  • Postoperative broad-spectrum antibiotic therapy was initiated.

Implications:

  • These cases underscore the significance of considering Salmonella in the etiology of MAAA.
  • Successful management involves a combination of surgical intervention and targeted antibiotic treatment.
Keywords:
Salmonellaabdominal aortaaneurysmgrafttreatment

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