Mycotic aneurysm is an uncommon surgical emergency with high mortality. Endovascular infection due to salmonella is the commonest cause of intra-abdominal mycotic aneurysm. We report a rare presentation of mycotic aneurysm in a 78-year-old man who presented to the accident and emergency department with deep vein thrombosis due to compression of the iliac vein by a mycotic aneurysm arising from the internal iliac artery and an adjacent abscess. A comprehensive review of the aetiology, clinical presentation and management of mycotic aneurysm secondary to salmonella arteritis is presented.
ChanF.Y., CrawfordE.S., CoselliJ.S., SafiH.J., WilliamsT.W.JrIn situ prosthetic graft replacement for mycotic aneurysm of the aorta. Ann Thoracic Surg1989; 47(2): 193–203.
3.
MüllerB.T., WegenerO.R., GrabitzK., PillnyM., ThomasL., SandmannW.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(1): 106–13.
4.
ChenI.M., ChangH.H., HsuC.P., LaiS.T., ShihC.C.Ten-year experience with surgical repair of mycotic aortic aneurysms. J Chin Med Assoc2005; 68(6): 265–71.
5.
JohnsonJ.R., LedgerwoodA.M., LucasC.E.Mycotic aneurysm. New concepts in therapy. Arch Surg1983; 118(5): 577–82.
6.
FichelleJ.M., TabetG., CormierP., FarkasJ.C., LaurianC., GigouF.Infected infrarenal aortic aneurysms: when is in situ reconstruction safe?J Vasc Surg1993; 17(4): 635–45.
WilsonS.E., GordonH.E., Van WagenenP.B.Salmonella arteritis: a precursor of aortic rupture and pseudoaneurysm formation. Arch Surg1978; 113(10): 1163–6.
9.
YeungS.T.K., KamK.M.Salmonella surveillance in Hong Kong. Public Health Epidemiol Bull2001; 10(6): 62–8.
10.
YeungS., MaP.L.Salmonella surveillance in 1994. Public Health Epidemiol Bull1995; 4(4): 28–30.
11.
OskouiR., DavisW.A., GomesM.N.Salmonella aortitis. A report of a successfully treated case with a comprehensive review of the literature. Arch Intern Med1993; 153(4): 517–25.
12.
Soravia-DunandV.A., LooV.G., SalitI.E.Aortitis due to Salmonella: report of 10 cases and comprehensive review of the literature. Clin Infect Dis1999; 29(4): 862–8.
ParsonsR., GregoryJ., PalmerD.L.Salmonella infections of the abdominal aorta. Rev Infect Dis1983; 5(2): 227–31.
15.
JohansenK., DevinJ.Mycotic aortic aneurysms. A reappraisal. Arch Surg1983; 118(5): 583–8.
16.
Fernández GuerreroM.L., AguadoJ.M., ArribasA., LumbrerasC., de GorgolasM.The spectrum of cardiovascular infections due to Salmonella enterica: a review of clinical features and factors determining outcome. Medicine (Baltimore)2004; 83(2): 123–38.
17.
NielsenH., GradelK.O., SchønheyderH.C.High incidence of intravascular focus in nontyphoid Salmonella bacteremia in the age group above 50 years: a population-based study. APMIS2006; 114(9): 641–5.
18.
CohenP.S., O'BrienT.F., SchoenbaumS.C., MedeirosA.A.The risk of endothelial infection in adults with salmonella bacteremia. Ann Intern Med1978; 89(6); 931–2.
BenensonS., RavehD., SchlesingerY., AlbertonJ., RudenskyB., Hadas-HalpemI.The risk of vascular infection in adult patients with nontyphi Salmonella bacteremia. Am J Med2001; 110(1): 60–3.
21.
HsuR.B., TsayY.G., ChenR.J., ChuS.H.Risk factors for primary bacteremia and endovascular infection in patients without acquired immunodeficiency syndrome who have nontyphoid salmonellosis. Clin Infect Dis2003; 36(7): 829–34.
22.
MestresC.A., NinotS., de LacyA.M., CastelM.T., IranzoP., AzonA.AIDS and Salmonella-infected abdominal aortic aneurysm. Aust N Z J Surg1990; 60(3): 225–6.
LinW.C.A fatal case of non-typhoidal Salmonella aortitis and literature review. Bull Hong Kong Soc Infect Dis2005; 9(3): 21–2.
25.
KirkpatrickJ.N., RingM., LangR.M.Expanding the differential diagnosis of hemoptysis: mycotic aortic aneurysms. Rev Cardiovasc Med2003; 4(3): 180–3.
26.
CookA.M., ChristopoulosD.Rupture of a non-aneurysmal salmonella infected aorta. Clin Radiol1989; 40(6): 605–6.
27.
AlsoubH.Mycotic aneurysm of the common iliac artery due to Salmonella parathyphi A: a case report. Ann Saudi Med1995; 15(4): 396–8.
28.
PurnellR.A.Ruptured mycotic aneurysm of the internal iliac artery and septic arthritis complicating Salmonella infection. Br J Clin Pract1990; 44(11): 497–9.
29.
BarlowG.D., GreenS.T.A patient with fever and abdominal aortic aneurysm. Postgrad Med J1999; 75(886): 479–80.
30.
GomesM.N., ChoykeP.L., WallaceR.B.Infected aortic aneurysms. A changing entity. Ann Surg1992; 215(5): 435–42.
31.
GondaR.L.Jr, GutierrezO.H., AzodoM.V.Mycotic aneurysms of the aorta: radiologic features. Radiology1988; 168(2): 343–6.
32.
CarrerasM., LarenaJ.A., TaberneroG., LangaraE., PenaJ.M.Evolution of salmonella aortitis towards the formation of abdominal aneurysm. Eur Radiol1997; 7(1): 54–6.
33.
DonabedianH.Long term suppression of Salmonella aortitis with oral antibiotic. Arch Intern Med1989; 149(6): 1452.
34.
AguadoJ.M., Fernández-GuerreroM.L., La BandaF., GarcésJ.L.Salmonella infections of the abdominal aorta cured with prolonged antibiotic treatment. J Infect1987; 14(2): 135–9.
35.
SowerN.D., WhelanT.J.JrSuppurative arteritis due to Salmonella. Surgery1962; 52: 851–9.
36.
PasicM.Mycotic aneurysm of the aorta: evolving surgical concept. Ann Thorac Surg1996; 61(4): 1053–4.
37.
TingA.C., ChengS.W.Repair of Salmonella mycotic aneurysm of the paravisceral abdominal aorta using in situ prosthetic graft. J Cardiovasc Surg (Torino)1997; 38(6): 665–8.
38.
KyriakidesC., KanY., KerleM., CheshireN.J., MansfieldA.O., WolfeJ.H.11-year experience with anatomical and extra-anatomical repair of mycotic aortic aneurysms. Eur J Vasc Endovasc Surg2004; 27(6): 585–9.
KanC.D., LeeH.L., YangY.J.Outcome after endovascular stent graft treatment for mycotic aortic aneurysm: a systematic review. J Vasc Surg2007; 46(5): 906–12.
41.
WongS.P., LaiT.K., NgW.L., LukW.K.Non-typhoid Salmonella mycotic aneurysm of the aortic arch. Hong Kong Med J2007; 13(3): 234–7.
42.
KotzampassakisN., DelanayeP., MasyF., CreemersE.Endovascular stent-graft for thoracic aorta aneurysm caused by Salmonella. Eur J Cardiothorac Surg2004; 26(1): 225–7.
43.
CinàC.S., ArenaG.O., FitureA.O., ClaseC.M., DoobayB.Ruptured mycotic thoracoabdominal aortic aneurysms: a report of three cases and a systematic review. J Vasc Surg2001; 33(4): 861–7.
