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Infectious Aortitis: A Life-Threatening Endovascular Complication of Nontyphoidal Salmonella Bacteremia
Joint Authors
Cappell, Mitchell S.
Hakim, Seifeldin
Davila Grijalva, Francisco
Hader, Ismail
Amin, Mitual
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 65-year-old Japanese man living in the United States presented with pyrexia and chills associated with intermittent lower abdominal and back pain for 5 days.
He denied recent travel, rash, diarrhea, or rectal bleeding.
Physical examination revealed spiking pyrexia, and routine laboratory tests revealed mild leukocytosis and neutrophilia.
Abdominal CT with contrast showed findings highly compatible with aortitis.
Comprehensive autoimmune evaluation was negative.
Salmonella enterica serotype Enteritidis was isolated from blood cultures.
IV antibiotics were administered, but the patient continued to experience low-grade pyrexia and mild leukocytosis, and follow-up abdominal CT showed progressive aortic inflammation.
The patient therefore underwent resection of the affected aortic segment with in-situ graft replacement and lifelong suppressive antibiotics.
The patient is asymptomatic with no complications at 18 weeks of follow-up.
This case report illustrates that patients with infectious aortitis from nontyphoidal Salmonella may (1) present with nonspecific and nonlocalizing symptoms and signs except for sepsis; (2) have diagnostic blood cultures and abdominal CT findings; and (3) typically require aggressive, prolonged IV antibiotic therapy and surgery for potential cure of this life-threatening infection.
American Psychological Association (APA)
Hakim, Seifeldin& Davila Grijalva, Francisco& Amin, Mitual& Hader, Ismail& Cappell, Mitchell S.. 2018. Infectious Aortitis: A Life-Threatening Endovascular Complication of Nontyphoidal Salmonella Bacteremia. Case Reports in Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145024
Modern Language Association (MLA)
Hakim, Seifeldin…[et al.]. Infectious Aortitis: A Life-Threatening Endovascular Complication of Nontyphoidal Salmonella Bacteremia. Case Reports in Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1145024
American Medical Association (AMA)
Hakim, Seifeldin& Davila Grijalva, Francisco& Amin, Mitual& Hader, Ismail& Cappell, Mitchell S.. Infectious Aortitis: A Life-Threatening Endovascular Complication of Nontyphoidal Salmonella Bacteremia. Case Reports in Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145024
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145024