Mycotic Aneurysm Due to Non-typhi Salmonella: Report of 16 Cases

From 1990 through 1994, we collected information on all cases of mycotic aneurysms due to non-typhi Salmonella that occurred at the Veterans General Hospital in Kaohsiung, Taiwan. All cases of salmonella bacteremia were reviewed to find any additional cases. A total of 16 cases of salmonella mycotic...

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Bibliographic Details
Published in:Clinical infectious diseases 1996-10, Vol.23 (4), p.743-747
Main Authors: Wang, Jao-Hsien, Liu, Yung-Ching, Yen, Muh-Yong, Wang, Jen-Hsien, Chen, Yao-Shen, Wann, Shue-Ren, Cheng, Deh-Lin
Format: Article
Language:English
Subjects:
Abdominal aorta
Aged
Ampicillin - therapeutic use
Aneurysm, Infected - diagnosis
Aneurysm, Infected - diagnostic imaging
Aneurysm, Infected - microbiology
Aneurysms
Anti-Bacterial Agents - therapeutic use
Arteriosclerosis - diagnosis
Atherosclerosis
Bacteremia
Bacteremia - drug therapy
Bacteremia - epidemiology
Bacteremia - microbiology
Bacterial diseases
Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels
Biological and medical sciences
Blood
Cefazolin - therapeutic use
Ceftriaxone - therapeutic use
Cephalosporins - therapeutic use
Ciprofloxacin - therapeutic use
Clinical Articles
Female
Fever
Gallium Radioisotopes
Human bacterial diseases
Humans
Infections
Infectious diseases
Male
Medical sciences
Middle Aged
Mortality
Penicillins - therapeutic use
Retrospective Studies
Salmonella
Salmonella - isolation & purification
Salmonella choleraesuis
Salmonella infections
Salmonella Infections - drug therapy
Salmonella Infections - epidemiology
Salmonella Infections - microbiology
Seroepidemiologic Studies
Tomography, X-Ray Computed
Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use
Tropical medicine
Vascular grafting
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Summary:From 1990 through 1994, we collected information on all cases of mycotic aneurysms due to non-typhi Salmonella that occurred at the Veterans General Hospital in Kaohsiung, Taiwan. All cases of salmonella bacteremia were reviewed to find any additional cases. A total of 16 cases of salmonella mycotic aneurysms occurred. The mortality rate was 100% among the three patients treated with medical therapy alone. Nine (70%) of the 13 patients who received surgical and medical therapy survived. Ten of the 16 cases were due to Salmonella choleraesuis. Diagnosis was established by computed tomography or aortography. Gallium scans were of no diagnostic utility. A culture of blood from a patient with underlying atherosclerosis that is positive for invasive Salmonella should prompt a search for a mycotic aneurysm. Treatment with a third-generation cephalosporin and resection of the infected vessel is usually successful.
ISSN:1058-4838
1537-6591
DOI:10.1093/clinids/23.4.743