Management of Aortic Aneurysm Infected with Salmonella
Resource
BRITISH JOURNAL OF SURGERY v.90 n.9 pp.1080-1084
Journal
BRITISH JOURNAL OF SURGERY
Journal Volume
v.90
Journal Issue
n.9
Pages
1080-1084
Date Issued
2003
Date
2003
Author(s)
HSU, RON-BIN
Abstract
Background: This study reviewed the clinical outcomes of patients with an aortic aneurysm infected with Salmonella treated by a single centre over 6 years. Methods: Data were collected by a retrospective case-note review . Results: Between September 1995 and December 2001, 121 patients with non -typhoid Salmonella bacteraemia were treated, of whom 24 patients had an aortic aneurysm infected with Salmonella. Ten had a suprarenal and 14 an infrarenal aortic infection. The most common responsible pathogen was group C Salmonella( 12 patients). All of the 20 patients who had combined medical and surgical therapy survived, whereas two of four who had medical therapy alone died. There were two late deaths during a mean follow-up of 23 (range 3-63) months. Conclusion: The incidence of aortic infection in patients with non-typhoid Salmonella bacteraemia was high in Taiwan. Timely surgical intervention and prolonged intravenous antibiotic therapy resulted in excellent outcomes.
Subjects
MYCOTIC-ANEURYSM
ABDOMINAL-AORTA
NONTYPHI SALMONELLA
SURGICAL-TREATMENT
ILIAC ARTERIES
BACTEREMIA
Type
journal article