Korean J Thorac Cardiovasc Surg.  1997 Jan;30(1):103-107.

Ruptured Aneurysm of Descending Thoracic Aorta due to Salmonella Arteritis: 1 case report

• Cho CW
• Kim JC
• Ku BI
• Oh SJ
• Lee HS
• Kim CH
• Yoo HJ

Abstract

A very rare case of mycotic aneurysm in the descending thoracic aorta due to salmonellosis was treated in our hospital. The patient was a 62 year-old male who 48 days before the operation was admitted to the department of internal medicine complaining of fever, nausia, vomiting, and loose stool. He was treated for 35 days and discharged. Three days after discharge, however, the patient was readmitted to the hospital complaining of right upper quadrant abdominal pain. Fever developed on the third hospital day, and on the eighth hospital day, the patient complained of back pain and epigastric pain. A simple chest x-ray showed evidence of hemothorax in the left plueral space, and therefore, computed tomography of the chest was done. The patient was diagnosed as a ruptured mycotic aneurysm of the descending thoracic aorta, and was transferred to our Department of Thoracic and Cardiovascular Surgery. The aneurysm and infected tissues was widely debrided, and the site was then patched with a Dacron graft. Salmonella choleraesuis was identified in the blood and aneurysm cultures, and antibiotics were administered for 6 weeks according to the sensitivity of the organism. The patient experienced no complication thereafter and for the last three months since the operation, he has been leading a healthy and normal social life.

Keyword

Salmonella; Descending thoracic aorta; Mycotic aneurysm

MeSH Terms

Abdominal Pain
Aneurysm
Aneurysm, Infected
Aneurysm, Ruptured*
Anti-Bacterial Agents
Aorta, Thoracic*
Arteritis*
Back Pain
Fever
Hemothorax
Humans
Internal Medicine
Male
Middle Aged
Polyethylene Terephthalates
Salmonella Infections
Salmonella*
Thorax
Transplants
Vomiting
Anti-Bacterial Agents
Polyethylene Terephthalates