A case report of endovascular stenting in Salmonella mycotic aneurysm: a successful procedure in an immunocompromised patient
Annals of the Academy of Medicine, Singapore
;
: 1028-1031, 2007.
Article
in English
| WPRIM
| ID: wpr-348347
ABSTRACT
<p><b>INTRODUCTION</b>Mycotic aneurysms are associated with high mortality rates and are managed in the local setting with extra-anatomical bypass followed by ligation, exclusion and debridement of the aneurysm. This is the first case of successful endovascular stenting in an immunocompromised patient with Salmonella mycotic aneurysm.</p><p><b>CLINICAL PICTURE</b>A middle-aged man who was HIV positive had Salmonella septicaemia. He developed abdominal pain 5 days after admission and a computed tomography (CT) scan of the abdomen revealed infrarenal aortitis. He developed a mycotic aneurysm 3 weeks later.</p><p><b>TREATMENT</b>He opted for endovascular stenting and after prolonged antibiotic therapy and negative blood cultures, he underwent the procedure using a Talent stent, with an iliac extension.</p><p><b>OUTCOME</b>He was discharged 1 week after stenting and maintained on oral bactrim based on sensitivity. At 1-year follow-up, he remains well symptomatically and CT scan showed no endoleak or collection.</p><p><b>CONCLUSION</b>Endovascular stenting, though a fairly new procedure, can be successfully deployed even in a mycotic aneurysm in the right setting.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Salmonella enteritidis
/
Salmonella Infections
/
General Surgery
/
Therapeutics
/
Aneurysm, Infected
/
HIV Infections
/
Stents
/
Trimethoprim, Sulfamethoxazole Drug Combination
/
Therapeutic Uses
/
Drug Therapy
Limits:
Humans
/
Male
Language:
English
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2007
Type:
Article
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