EmphysematousSalmonellaaortitis with mycotic aneurysm

Emphysematous aortic arch aneurysm infected with Salmonella: A case report

“…Upon admission, CT revealed an aneurysmal formation with specific and massive air-filled collection, suggesting unique features. 2 Therefore, severely infected aortic aneurysm was suspected, and high-dose intravenous antibiotics were started to be administered before the arrival of the blood culture results. The patient visited our institute approximately 1 month after the onset of symptoms; hence, the infectious invasion to the vascular wall was already progressive when the treatment was started.…”

“…Our patient with aortitis due to Salmonella infection was successfully treated despite experiencing aortic rupture, including delayed esophageal perforation after surgery. Upon admission, CT revealed an aneurysmal formation with specific and massive air‐filled collection, suggesting unique features 2 . Therefore, severely infected aortic aneurysm was suspected, and high‐dose intravenous antibiotics were started to be administered before the arrival of the blood culture results.…”

“…1 We treated a patient with Salmonellainfected aortic arch aneurysm surrounded with a specific and massive emphysema. 2 Despite experiencing rupture, including delayed esophageal perforation after surgery, the patient was successfully treated with combined treatment involving open surgery, endovascular repair, and conservative antibiotic treatment. The most significant aspects of managing an infected aortic aneurysm include early diagnosis, infection control with adequate antibiotics, and a thorough resection of the infectious tissue for aortic reconstruction.…”

“…Infected aortic aneurysm is a relatively rare disease with a high mortality 1 . We treated a patient with Salmonella ‐infected aortic arch aneurysm surrounded with a specific and massive emphysema 2 . Despite experiencing rupture, including delayed esophageal perforation after surgery, the patient was successfully treated with combined treatment involving open surgery, endovascular repair, and conservative antibiotic treatment.…”

Two-stage surgical approach for ruptured Salmonella aortitis

“…there have been encouraging short-and mid-term results with early endovascular repair in conjunction with intravenous antibiotic therapy. 3,4 Of note, the duration of antibiotic therapy remains controversial, with some investigators advocating a limited duration and others recommending lifelong suppressive therapy. 1,2 In this case report, despite negative blood cultures after a 10-day course of intravenous antibiotics, the intraoperative tissues remained positive for Salmonella.…”