| Mycotic aneurysm presenting as acute pyelonephritis. | |
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MedLine Citation:
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PMID: 12380916 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This report describes a 56-year-old man with a ruptured infected abdominal aortic aneurysm secondary to Salmonella bacteremia, initially presenting as acute pyelonephritis. Spike fever with severe back pain continued despite empiric antibiotic treatment at a local hospital. Hypotension with a sudden hemoglobin drop was observed on the second hospitalization day. Abdominal computed tomography to further examine the bleeding focus confirmed a rupture of the mycotic abdominal aortic aneurysm. This case was successfully treated through prompt surgical intervention and aggressive protracted antibiotic therapy. The case presented herein raises concerns about the uncommon but life-threatening mycotic aneurysm presented initially as acute pyelonephritis. Early diagnosis and appropriate surgical and antibiotic treatment of the Salmonella mycotic aortic aneurysm is crucial for a satisfactory outcome. |
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Authors:
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Jiann-Keh Chen; Ja-Liang Lin; Chiu-Ching Huang; Chun-Chen Yu |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Renal failure Volume: 24 ISSN: 0886-022X ISO Abbreviation: Ren Fail Publication Date: 2002 Sep |
Date Detail:
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Created Date: 2002-10-16 Completed Date: 2003-02-25 Revised Date: 2008-05-21 |
Medline Journal Info:
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Nlm Unique ID: 8701128 Medline TA: Ren Fail Country: United States |
Other Details:
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Languages: eng Pagination: 677-82 Citation Subset: IM |
Affiliation:
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Department of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aneurysm, Infected / diagnosis*, etiology*, microbiology Aortic Aneurysm, Abdominal / diagnosis*, etiology*, microbiology Aortic Rupture / diagnosis*, etiology*, microbiology Bacteremia / complications*, diagnosis*, microbiology Diagnosis, Differential Humans Male Middle Aged Pyelonephritis / diagnosis* Salmonella Infections / complications*, diagnosis*, microbiology Salmonella enteritidis / isolation & purification* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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