A case of ruptured infected aneurysm of abdominal aorta caused by septic salmonellosis.
- Author:
Sun Yae CHAE
1
;
Kwang Yoel LIU
;
Ku Young KIM
;
Byung Uk LIM
;
Byung Won HUR
;
Hae Kyung KIM
;
Ho Jung KIM
Author Information
1. Department of Internal Medicine, Kwangmyung Sungae Hospital, Kwangmyung, Korea. Hurspital@hanmail.net
- Publication Type:Case Report
- Keywords:
Septic salmonellosis;
Infected aneurysm
- MeSH:
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
- From:Korean Journal of Medicine
2003;65(Suppl 3):S747-S751
- CountryRepublic of Korea
- Language:Korean
-
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.
