Salmonella enteritidis abdominal aorta mycotic aneurysm presented with acute cholestatic jaundice: A case report and literature review
https://doi.org/10.47665/tb.40.1.008
- Author:
Wahab, A.A.
1
;
Mohamed, N.
1
;
Ding, C.H.
1
;
Muttaqillah, N.A.S.
1
;
Rosli, N.
2
;
Mohammed, F.
2
Author Information
1. Department of Medical Microbiology and Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia
2. Department of Pathology, Faculty of Medicine, Hospital Canselor Taunku Muhriz, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia
- Publication Type:Other Types
- Keywords:
Infrarenal;
mycotic aneurysm;
Salmonella Enteritidis.
- From:Tropical Biomedicine
2023;40(No.1):23-28
- CountryMalaysia
- Language:English
-
Abstract:
Mycotic aneurysm is one of the extra-intestinal manifestations of Salmonella Enteritidis infection. The
diagnosis of this condition is challenging owed to its variation in clinical presentations. We presented
a case of a 54-year-old man with underlying diabetes mellitus and chronic smokers presented with
acute right flank pain and fever associated with mild jaundice. The initial laboratory investigations
suggested features of obstructive jaundice and urinary tract infection. The contrast enhancing computed
tomography of the abdomen revealed the presence of saccular mycotic aneurysm located at the
infrarenal abdominal aorta. The blood culture grew Salmonella Enteritidis which was susceptible to
ceftriaxone, trimethoprim-sulfamethoxazole, ciprofloxacin, ampicillin, and amoxicillin-clavulanic acid.
Intravenous ceftriaxone was initiated, and he underwent open surgery and artery repair at day 8 of
admission. He responded well to the treatment given and subsequently discharged home after completed
three weeks of intravenous ceftriaxone.
- Full text:8.2023my1385.pdf
