False aneurysm formation after Salmonella virchow infection of a pre-existent ventricular aneurysm--survival after surgical resection

A 55 year old man with a left ventricular aneurysm, secondary to a previous myocardial infarction, was hospitalized due to a Salmonella virchow bacteraemia. During a 3-week hospital course he was persistently bacteraemic and febrile despite antibiotic treatment. Gallium isotope scanning and 2-D-echo...

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Bibliographic Details
Published in:Postgraduate medical journal 1989-03, Vol.65 (761), p.168-170
Main Authors: Echevarria, S., Arjona, R., Alonso, J., Riancho, J. A., Revuelta, J. M., Macias, J. G.
Format: Article
Language:English
Subjects:
Amoxicillin - therapeutic use
Aneurysm, Infected - complications
Aneurysm, Infected - drug therapy
Aneurysm, Infected - surgery
Coronary Aneurysm - complications
Coronary Aneurysm - drug therapy
Coronary Aneurysm - surgery
Humans
Male
Middle Aged
Salmonella Infections - complications
Salmonella Infections - drug therapy
Salmonella Infections - surgery
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Summary:A 55 year old man with a left ventricular aneurysm, secondary to a previous myocardial infarction, was hospitalized due to a Salmonella virchow bacteraemia. During a 3-week hospital course he was persistently bacteraemic and febrile despite antibiotic treatment. Gallium isotope scanning and 2-D-echocardiography were helpful in demonstrating the presence of an infected false aneurysm at the site of a true aneurysm. Surgical resection in addition to prolonged antibiotic therapy was necessary for cure.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.65.761.168