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Dtsch Med Wochenschr. 2014 Apr;139(16):835-8. doi: 10.1055/s-0034-1369931. Epub 2014 Apr 10.

[Aortitis due to Salmonella].

[Article in German]

Author information

1
Medizinische Klinik, Spital Zollikerberg, Schweiz.

Abstract

HISTORY AND CLINICAL FINDINGS:

A 72-year-old man received treatment with amoxicillin/clavulanic acid because of fever and abdominal pain as an outpatient setting. Salmonella enteritidis infection was confirmed by a positive blood culture. The febrile patient showed abdominal tenderness on palpation.

INVESTIGATIONS:

CT and PET scans revealed an aneurysmatic soft tissue inflammation which was interpreted as infectious aortitis in the context of salmonella bacteraemia.

TREATMENT AND COURSE:

After several weeks of antibiotic treatment with ceftriaxone, an elective reconstruction using xenopericard with replacement of the mesenterial vessels was performed. After a postoperative course of antibiotics the patient recovered completely.

CONCLUSION:

In patients with positive blood cultures for Salmonella in combination with fever, back or abdominal pain a workup for infectious aortitis and a rapid treatment is recommended.

PMID:
24722933
DOI:
10.1055/s-0034-1369931
[Indexed for MEDLINE]
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