Korean J Med.  2003 Nov;65(Suppl 3):S747-S751.

A case of ruptured infected aneurysm of abdominal aorta caused by septic salmonellosis

• Chae SY
• Liu KY
• Kim KY
• Lim BU
• Hur BW
• Kim HK
• Kim HJ

Abstract

Salmonella infected aneurysm of aorta is one of the local complications by systemic salmonellosis. We have experienced a case of the rupture of infected abdominal aortic aneurysm in 47-year old man. He was admitted because of 39degrees C fever, abdominal pain, back pain of 7 day's duration. Diabetes mellitus had been diagnosed previously, but not managed. Abdominal CT scans showed aneurysmal dilatation with periaortic air bubbles and severe atherosclerotic change of abdominal aorta from renal hilum to the iliac bifurcation level. Blood cluture yielded Salmonella group B strains. He was treated with intravenous ceftriaxone, metronidazole, ciprofloxacin. On the seventh hospital day, the patient showed sign of shock with blood pressure 80/60 mmHg and comatous conciousness. Abdominal CT scans revealed the rupture of infected aneurysm of abdominal aorta just superior to the iliac artery bifurcation. The patient had not underwent surgery, then he was expired.

Keyword

Septic salmonellosis; Infected aneurysm

MeSH Terms

Abdominal Pain
Aneurysm
Aneurysm, Infected*
Aorta
Aorta, Abdominal*
Aortic Aneurysm, Abdominal
Back Pain
Blood Pressure
Ceftriaxone
Ciprofloxacin
Diabetes Mellitus
Dilatation
Fever
Humans
Iliac Artery
Metronidazole
Middle Aged
Rupture
Salmonella
Salmonella Infections*
Shock
Tomography, X-Ray Computed
Ceftriaxone
Ciprofloxacin
Metronidazole