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Nonaneurysmal suppurative aortitis.

J A Bardin, G M Collins, J B Devin

    Archives of Surgery (Chicago, Ill. : 1960)
    |July 1, 1981
    PubMed
    Summary
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    Suppurative aortitis, a serious aortic infection, can occur with Salmonella sepsis. Early evaluation for aortitis is crucial in older patients or those with suspected atherosclerosis due to the high risk of rupture and poor outcomes.

    Area of Science:

    • Cardiovascular Medicine
    • Infectious Diseases
    • Vascular Surgery

    Background:

    • Suppurative aortitis is a rare but life-threatening infection of the aorta.
    • Salmonella sepsis can lead to serious complications, including vascular involvement.
    • Aortic atherosclerosis is a common comorbidity in older adults.

    Observation:

    • Two cases of nonaneurysmal suppurative aortitis associated with Salmonella sepsis are presented.
    • One patient experienced aortic rupture and succumbed to the condition.
    • The second patient developed Salmonella sepsis with infrarenal aorta occlusion, treated with aortic resection and bypass, but died later from unrelated causes.

    Findings:

    • Nonaneurysmal suppurative aortitis in the context of Salmonella sepsis carries a high risk of mortality.

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  • Aortic rupture or aneurysm formation in these patients is associated with a dismal prognosis.
  • Prompt evaluation for aortitis is warranted in patients over 50 with Salmonella sepsis or suspected aortic atherosclerosis.

    • Implications:

    • Highlights the importance of considering suppurative aortitis in patients with Salmonella sepsis, particularly those with risk factors.
    • Emphasizes the need for vigilant diagnostic evaluation to prevent catastrophic outcomes like aortic rupture.
    • Suggests that early recognition and management strategies may improve outcomes for this rare but severe condition.