Salmonella bacteremia can be complicated by mycotic aneurysm with the potential for a catastrophic presentation. Treatment involves prompt surgery with debridement, extraanatomic bypass, and prolonged antibiotic therapy. Any relapse tends to occur within the 1st year after surgery. We describe a case of Salmonella enteritidis mycotic aneurysm in a 56-year-old man 5 years after the initial presentation, emphasizing the importance of aggressive initial therapy and long-term surveillance.
HsuRBChangCIWuIHLinFY. Selective medical treatment of infected aneurysms of the aorta in high risk patients. J Vasc Surg2009; 49: 66–70.
2.
ForbesTLJardingGE. Endovascular repair of Salmonella-infected abdominal aortic aneurysms: a word of caution. J Vasc Surg2006; 44: 198–200.
3.
Soravia-DunandVALooVGSalitIE. Aortitis due to Salmonella: report of 10 cases and comprehensive review of the literature. Cliical Infect Dis1999; 29: 862–868.
EhsanOGibbonsCP. A 10-year experience of using femoral-popliteal vein for re-vascularisation in graft and arterial infections. Eur J Endovasc Surg2009; 38: 172–179.
6.
MüllerBTWegenerORGrabitzKPillnyMThomasLSandmannW. Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases. J Vasc Surg2001; 33: 106–113.
7.
LuoCYKoWCKanCDLinPYYangYJ. In situ reconstruction of septic aortic pseudoaneurysm due to Salmonella or Streptococcus microbial aortitis: long-term follow-up. J Vasc Surg2003; 38: 975–982.
8.
TaurinoMRizzoLLiberatoreMMaraglinoCVerrientiT. Salmonella reinfection manifesting as a fistula between the duodenum and an aortic stump pseudoaneurysm. Int Angiol2005; 24: 383–386.
