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[Salmonella aortitis complicated by rupture. Diagnostic and therapeutic problems]
I Farah1, H Giudicelli, L Voirin
1Service de Chirurgie vasculaire, C.H.U. Grenoble.
Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1993
Summary
Salmonella aortitis complicating spondylodiscitis is a rare and fatal condition. Despite aggressive treatment including surgery and antibiotics, the patient did not survive, highlighting the challenges in managing this severe infection.
Area of Science:
- Infectious Diseases
- Cardiovascular Surgery
- Radiology
Background:
- Spondylodiscitis, an infection of the spine and intervertebral discs, can rarely lead to secondary complications.
- Aortitis, inflammation of the aorta, is a serious condition that can be caused by various infectious agents.
Observation:
- A case of Salmonella-induced aortitis was observed in a patient concurrently diagnosed with spondylodiscitis.
- The patient underwent surgical intervention including resection and grafting, extensive drainage, and antibiotic therapy.
Findings:
- The outcome was fatal, indicating treatment resistance despite comprehensive medical and surgical management.
- Computed tomography (CT) proved essential for diagnosing spondylodiscitis in this emergency setting.
Implications:
- Effective management requires prompt identification of the causative infectious agent to tailor antibiotic therapy.
- Literature suggests extra-anatomic bypass combined with infected tissue resection and appropriate antibiotics as a potential treatment strategy for spondylodiscitis with aortitis.