P11 | Mycotic aortic pseudoaneurism due to group B Salmonella. Case report and review of literature
Year: 2025
Type: article
Study design: Case Report
Abstract: Introduction: Intense abdominal pain associated with fever includes a wide and heterogeneous spectrum of pathologies. Mycotic aortic aneurysm (MAA) is, among these, a rare disease, associated with high mortality and with a still uncertain management.Case report: A 74 year-old man with no significant past medical history, attended the emergency department with intensive diffuse abdominal pain, fever and diarrhea. Blood tests showed acute renal failure (creatinine 7.56 mg/dl), mild leukocytosis (WBC 10,65 x103/mcL with 86% neutrophils) and elevated CRP (19 mg/dL). An abdominal CT scan revealed voluminous infrarenal aortic aneurysm with maximum diameter of 12 cm. He was treated urgently through endovascular aortic repair (EVAR). Next blood cultures identified non-typhoidal Salmonella. Thus he started therapy with Ceftriaxone with subsequent complete resolution of symptoms and normalization of biochemical indices. Finally, he was discharged with indication of lifelong antibiotic therapy. Conclusions: In the evaluation of abdominal pain, the presence of an aneurysm under fever is often indicative of MAA. Non-typhoidal salmonella, along with staphylococcus and streptococcus, represents one of the most frequent etiologies and must always be suspected, especially in the presence of diarrhea and renal failure. Literature review indicates that currently EVAR is the best method to reduce mortality due to the risk of rapid aneurysm breakage; there is still uncertainty about how long to carry out antibiotic therapy.
Source: Italian Journal of Medicine
Authors: Vo Van Kha, Tran Thi Huong Ly, Pham Thi Thanh Hoa, Vo Huynh Nhu, Damas Hendriansyah, Nusratuddin Abdullah, Rudy B. Leonardy, Mardiah Tahir, Samrichard Rambulangi, Firdaus Hamid, Filomena Pietrantonio, Vera Kopsaj, Francesco Rosiello, Aurora Tomassoni, Luca Moriconi, Donatella Padua, Kiki Rizki Amelia, Efendi Lukas, Nurbani Bangsawan, Isharyah Sunarno, Retno Budiarti Farid, Sriwijaya Qadar, Rabab H. Elshaikh, Ashok Kumar Sah, Abdelrahman Mohamed Abukanna, Abdulrahman Algarni, Ammar Abdelmola, Hussam Ali Osman, Tagwa Yousif Elsayed Yousif, Elryah I. Ali, Hiba Ali, Ayman Hussein Alfeel, Thanh Long Nguyen, Victor Storm, Lam Toi Phung, Cong Thien Le, Thi Thu Ha Le, Thi Hoa Nguyen, Son Tung Vu, Thien Thang Tran, Minh Hanh Vu, Van Tuan Nguyen, Francesco Ventrella, Anna Belfiore, Antonio Greco, Franco Mastroianni, Salvatore Lenti, Domenico Ruggiero, Michele Cannone, Vincenzo Ostilio Palmieri, Massimo Errico, Giuseppe Mancia, Guido Grassi, Sverre E. Kjeldsen
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413795046