Document Detail


Management of aortic aneurysm infected with Salmonella.
MedLine Citation:
PMID:  12945075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
R B Hsu; Y G Tsay; S S Wang; S H Chu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  90     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-08-28     Completed Date:  2003-10-13     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1080-4     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Affiliation:
Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan 100, Republic of China. shchu@ha.mc.nyu.edu.tw
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Adult
Aged
Aged, 80 and over
Ambulatory Care
Aneurysm, Infected / drug therapy,  surgery,  therapy*
Aortic Aneurysm, Abdominal / drug therapy,  surgery,  therapy*
Aortic Aneurysm, Thoracic / drug therapy,  surgery,  therapy*
Bacteremia / etiology
Ceftriaxone / therapeutic use
Cephalosporins / therapeutic use
Combined Modality Therapy
Drug Therapy, Combination / therapeutic use
Female
Fever / etiology
Follow-Up Studies
Hospitalization
Humans
Male
Middle Aged
Retrospective Studies
Salmonella Infections / drug therapy,  surgery,  therapy*
Chemical
Reg. No./Substance:
0/Cephalosporins; 73384-59-5/Ceftriaxone

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


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