An immunosuppressed man with an aortic rupture secondary to Salmonella aortitis successfully treated with endovascular aortic repair.

Abstract:

:A 75-year-old immunosuppressed man presented with fever and central abdominal pain 3 weeks after having positive blood cultures for Salmonella enteritidis. A computed tomography scan demonstrated a contained perforation of a nonaneurysmal abdominal aorta. Salmonella aortitis was suspected, and given his recent history of coronary artery stent insertion, endovascular aortic repair was performed, with lifelong antibiotic therapy. At 6 months, there were no remaining clinical or radiological concerns for aortitis or aneurysmal development. This case highlights the high index of suspicion required for aortitis in immunosuppressed patients and verifies endovascular aortic repair, an appropriate alternative in patients with severe comorbidities.

journal_name

Ann Vasc Surg

authors

Talwar A,George N,Tharian B,Roberts-Thomson J

doi

10.1016/j.avsg.2014.11.019

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

839.e5-8

issue

4

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(15)00079-5

journal_volume

29

pub_type

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