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Abstract

We describe a 27 y old female systemic lupus erythematosus (SLE) patient with salmonella bacteraemia who presented with fever, back pain and an enlarging heart size. A two dimensional echocardiogram (2D Echo) showed a mass in the right atrium. Subsequent computer tomographic (CT) and magnetic resonance imaging (MRI) studies showed that this had become a ring shaped lesion at the posterior end of the interventricular septum with an area communicating with the right atrial cavity. At operation a ruptured mycotic aneurysm of the right coronary artery was found. This is the first report of an SLE patient with a coronary artery mycotic aneurysm due to salmonella and the first reported case of survival following rupture of such an aneurysm.

Keywords

SLE salmonella coronary artery mycotic aneurysm MRI right atrial mass

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References

Shahram F. , Akbarian M. , Davatchi F. Salmonella infection in systemic lupus erythematosus. Lupus 1993; 2: 55-59.

Abramson S. , Kramer SB , Radin A. , Holzman R. Salmonella bacteremia in SLE. Arthritis Rheum 1985; 28: 75-79.

Cohen JI , Bartlett JA , Corey GR Extraintestinal manifestations of Salmonella infections. Medicine 1987; 66: 349-388.

Taylor G. , Goodfield MJ Fatal Salmonellosis in SLE. Clin and Exp Derm 1995; 20: 255-257.

Barnett RN , Zimmerman SL Coronary arteritis with fatal thrombosis due to Salmonella choleraesuis variety kunzendorf. Am Heart J 1947; 34: 441-446.

Henninger GR , Thabet R. , Bundy WE Salmonellosis complicated by pancarditis: Report of a case with autopsy findings. J Paed 1953; 43: 524-531.

Shilkin KB

Salmonella typhimurium pancarditis

Postgrad Med J 1969; 45: 40-43.

McGee MB , Khan MY Ruptured mycotic aneurysm of a coronary artery. A fatal complication of salmonella infection. Arch Intern Med 1980; 140: 1097-1098.

Lovy MR , Ryan Pfj , Hughes Grv. Concurrent SLE and Salmonellosis. J Rheum 1981; 8: 605-612.

10.

Chakravarty K. , Scott Dgi. Mycotic aneurysm of the aortic arch masquerading as SLE. Ann Rheum Dis 1992; 51: 1079-1081.

11.

Cliff MM , Soulen RL , Finestone AJ Mycotic aneurysms. A challenge and a clue. Arch Intern Med 1970; 126: 977-982.

12.

Strasser SF et al. Mycotic right coronary artery aneurysm: CT and MR diagnosis. JCAT 1986; 10: 667-669.

13.

Kalangos A. et al. Successful surgical treatment of a coronary artery mycotic aneurysm. Ann Thorac Surg 1994 ; 58: 1521—1523.

Mycotic aneurysm of a coronary artery in SLE—a rare complication of salmonella infection

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