Document Detail


Fatal salmonella aortitis with mycotic aneurysm rupture.
MedLine Citation:
PMID:  12464818     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Salmonellae most commonly cause uncomplicated cases of gastroenteritis but have a predilection for damaged blood vessels, especially those damaged by atherosclerosis. The abdominal aorta is most frequently affected. The most serious complication of aortitis is mycotic aneurysm formation with subsequent rupture. The authors present the case of a 61-year-old man who was found unresponsive at home 3 days after discharge from the hospital for treatment of gastroenteritis with bacteremia. Postmortem examination revealed a ruptured mycotic aneurysm with a large retroperitoneal hematoma. Numerous gram-negative rods were embedded in the wall of the aorta and surrounding inflammatory infiltrate, compatible with the patient's previously isolated. Whereas abdominal aortic aneurysm rupture is most commonly associated with atherosclerosis, the isolation of from blood cultures, coupled with radiographic evidence of gas surrounding the aorta, should raise the suspicion of infectious aortitis. Whereas fatal rupture of an aortic aneurysm secondary to atherosclerosis alone or in conjunction with aortitis will not have an impact on the manner of death, infections are reportable and thus have public health implications.
Authors:
Lynn A Salzberger; Dominick Cavuoti; Jeffrey Barnard
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  23     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-04     Completed Date:  2003-03-27     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  382-5     Citation Subset:  IM    
Affiliation:
Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, USA. lsalzberger@aol.com
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Infected / etiology*,  pathology
Aneurysm, Ruptured / etiology*,  pathology
Aorta, Abdominal / microbiology
Hematoma / etiology,  pathology
Humans
Male
Middle Aged
Retroperitoneal Space / microbiology
Salmonella Infections / complications*,  pathology
Salmonella enteritidis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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