Document Detail

Mycotic aneurysm of a coronary artery in SLE--a rare complication of salmonella infection.
MedLine Citation:
PMID:  9175028     Owner:  NLM     Status:  MEDLINE    
We describe a 27y old female systemic lupus erythematosus (SLE) patient with salmonella bacteraemia who presented with fever, back pain and an enlarging heart size. A two dimensional echocardiogram (2D Echo) showed a mass in the right atrium. Subsequent computer tomographic (CT) and magnetic resonance imaging (MRI) studies showed that this had become a ring shaped lesion at the posterior end of the interventricular septum with an area communicating with the right atrial cavity. At operation a ruptured mycotic aneurysm of the right coronary artery was found. This is the first report of an SLE patient with a coronary artery mycotic aneurysm due to salmonella and the first reported case of survival following rupture of such aneurysm.
H S Howe; J S Wong; Z P Ding; C Sivathasan; B Ang; W H Koh; P H Feng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Lupus     Volume:  6     ISSN:  0961-2033     ISO Abbreviation:  Lupus     Publication Date:  1997  
Date Detail:
Created Date:  1997-08-07     Completed Date:  1997-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204265     Medline TA:  Lupus     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  404-7     Citation Subset:  IM    
Department of Rheumatology and Immunology, Tan Tock Seng Hospital, Singapore.
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MeSH Terms
Aneurysm, Infected / complications*,  diagnosis,  surgery
Aneurysm, Ruptured / complications*,  diagnosis,  surgery
Coronary Aneurysm / complications*,  diagnosis,  surgery
Follow-Up Studies
Lupus Erythematosus, Systemic / complications*
Magnetic Resonance Imaging
Postoperative Complications
Salmonella Infections / complications*
Tomography, X-Ray Computed

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