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Mycotic Aneurysm in Salmonella enteritidis Infection: A Fatal Complication

Grace Gui Jin Khoo1, Paul Andrew Chong Yew Ong1, Joel Kae Wei Wong1

  • 1Internal Medicine, Hospital Sultanah Aminah, Johor Bahru, MYS.

Cureus
|January 15, 2025
PubMed

Insights

Salmonella enteritidis can cause rare but deadly mycotic aneurysms. Early detection and treatment are crucial for high-risk patients to prevent fatal rupture.

Area of Science:

  • Infectious Diseases
  • Vascular Surgery
  • Cardiology

Background:

  • Mycotic aneurysms are rare, severe infections of blood vessels, often fatal.
  • Systemic bacterial infections, like Salmonella bacteremia, are primary causes.
  • Diabetes mellitus increases risk for severe infections and complications.

Observation:

  • A 62-year-old male with type 2 diabetes presented in septic shock.
  • Blood cultures confirmed Salmonella enteritidis bacteremia.
  • CT angiogram revealed a ruptured infrarenal abdominal aortic mycotic aneurysm.

Findings:

  • Despite aggressive treatment, the patient experienced rapid deterioration.
  • Death was attributed to the ruptured mycotic aneurysm.
  • Salmonella enteritidis bacteremia was the likely cause of the aneurysm.

Implications:

  • Vigilance for mycotic aneurysms is critical in Salmonella bacteremia patients.
  • Elderly patients and those with cardiovascular disease are at higher risk.
  • Prompt diagnosis via imaging and timely intervention are essential to improve survival rates and prevent mortality.
Keywords:
mycotic aneurysmsnontyphoidal salmonellasalmonella aortitissalmonella enteritidisseptic shock (ss)

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