Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis Bacteremia

Mycotic aneurysms, defined as irreversible dilation of an artery due to destruction of the vessel wall by infection, are rare but are associated with a high risk of rupture if not treated promptly. The case of a healthy 52-year-old smoker who presented with pyrexia, rigors, night sweats and severe r...

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Main Authors: MA Hussain, G Roche-Nagle
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2013/715609
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author MA Hussain
G Roche-Nagle
author_facet MA Hussain
G Roche-Nagle
author_sort MA Hussain
collection DOAJ
description Mycotic aneurysms, defined as irreversible dilation of an artery due to destruction of the vessel wall by infection, are rare but are associated with a high risk of rupture if not treated promptly. The case of a healthy 52-year-old smoker who presented with pyrexia, rigors, night sweats and severe right leg pain with swelling is presented. He was diagnosed with a superficial femoral artery mycotic aneurysm, with Salmonella enteritidis as the causative agent. He was treated with high-dose antibiotics, local debridement and autologous reconstruction. A high index of suspicion is needed to make the correct diagnosis in these cases. Prompt surgical intervention and antimicrobial therapy are the cornerstones of treatment to reduce the associated high morbidity and mortality.
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spelling doaj-art-841f2f41eea040fcab05b678ac8065b22025-02-03T01:21:28ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322013-01-01241e24e2510.1155/2013/715609Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis BacteremiaMA Hussain0G Roche-Nagle1Michael G DeGroote School of Medicine, McMaster University, Hamilton, CanadaDepartment of Vascular and Endovascular Surgery, Toronto General Hospital, Toronto, Ontario, CanadaMycotic aneurysms, defined as irreversible dilation of an artery due to destruction of the vessel wall by infection, are rare but are associated with a high risk of rupture if not treated promptly. The case of a healthy 52-year-old smoker who presented with pyrexia, rigors, night sweats and severe right leg pain with swelling is presented. He was diagnosed with a superficial femoral artery mycotic aneurysm, with Salmonella enteritidis as the causative agent. He was treated with high-dose antibiotics, local debridement and autologous reconstruction. A high index of suspicion is needed to make the correct diagnosis in these cases. Prompt surgical intervention and antimicrobial therapy are the cornerstones of treatment to reduce the associated high morbidity and mortality.http://dx.doi.org/10.1155/2013/715609
spellingShingle MA Hussain
G Roche-Nagle
Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis Bacteremia
Canadian Journal of Infectious Diseases and Medical Microbiology
title Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis Bacteremia
title_full Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis Bacteremia
title_fullStr Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis Bacteremia
title_full_unstemmed Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis Bacteremia
title_short Infected Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Salmonella enteritidis Bacteremia
title_sort infected pseudoaneurysm of the superficial femoral artery in a patient with salmonella enteritidis bacteremia
url http://dx.doi.org/10.1155/2013/715609
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AT grochenagle infectedpseudoaneurysmofthesuperficialfemoralarteryinapatientwithsalmonellaenteritidisbacteremia