Salmonella cholerasuis bacteremia and mycotic aneurysm of abdominal aorta--report of five cases.

P. Chan, C. K. Lan, Y. L. Wan

Research output: Contribution to journalArticle

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Abstract

From August 1986 to October 1987, there were 5 cases of primary mycotic aneurysm of the lower abdominal aorta in Chang Gung Memorial Hospital at Kaoshiung. All patients were proved to have Salmonella cholerasuis (Sal. chol.) septicemia by blood culture. The ages ranged from 60 to 80 years old, the mean age was 71.6 years old. The male to female ratio was 4 to 1, 3 patients had diabetes mellitus (DM) and 3 had hypertension. The duration of symptoms lasted from 1 week to 2 months before diagnosis. Clinically, all patients had sepsis with fever, chills, leucocytosis, and complained of pain in the lower abdomen (80%), at flank (20%) or low back (20%). Abdominal tenderness was present in 3 (60%). Two patients underwent surgery, 1 expired during the operation, the other expired 1 month after operation because of retroperitoneal abscess and sepsis. Three were discharged in septic shock and expired within 1 day. The mortality rate was 100%. The diagnosis of complicated aneurysm of the lower abdominal aorta was established in all by computed tomography (CT). In conclusion, when there are clinical manifestations of sepsis, positive blood culture for Sal. chol., and pain or tenderness in the lower abdomen, flank area or back, one should consider the possibility of mycotic aneurysm of the lower abdominal aorta. Although the prognosis is poor, early surgical intervention may improve the outcome. And the diagnosis is best established by CT.

Original languageEnglish
Pages (from-to)115-120
Number of pages6
JournalChang Gung Medical Journal
Volume12
Publication statusPublished - Jun 20 1989
Externally publishedYes

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Infected Aneurysm
Abdominal Aorta
Bacteremia
Salmonella
Sepsis
Abdomen
Tomography
Pain
Chills
Leukocytosis
Septic Shock
Abscess
Aneurysm
Diabetes Mellitus
Fever
Hypertension
Mortality
Blood Culture

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Salmonella cholerasuis bacteremia and mycotic aneurysm of abdominal aorta--report of five cases. / Chan, P.; Lan, C. K.; Wan, Y. L.

In: Chang Gung Medical Journal, Vol. 12, 20.06.1989, p. 115-120.

Research output: Contribution to journalArticle

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