Document Detail

Mycotic aneurysm presenting as acute pyelonephritis.
MedLine Citation:
PMID:  12380916     Owner:  NLM     Status:  MEDLINE    
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.
Jiann-Keh Chen; Ja-Liang Lin; Chiu-Ching Huang; Chun-Chen Yu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Renal failure     Volume:  24     ISSN:  0886-022X     ISO Abbreviation:  Ren Fail     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-16     Completed Date:  2003-02-25     Revised Date:  2008-05-21    
Medline Journal Info:
Nlm Unique ID:  8701128     Medline TA:  Ren Fail     Country:  United States    
Other Details:
Languages:  eng     Pagination:  677-82     Citation Subset:  IM    
Department of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Acute Disease
Aneurysm, Infected / diagnosis*,  etiology*,  microbiology
Aortic Aneurysm, Abdominal / diagnosis*,  etiology*,  microbiology
Aortic Rupture / diagnosis*,  etiology*,  microbiology
Bacteremia / complications*,  diagnosis*,  microbiology
Diagnosis, Differential
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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