Salmonellosis in a patient with abdominal aortic aneurysm.

ABSTRACT

A 62 year-old man was admitted to the hospital with a history of fever and abdominal pain for 3 days. Four years ago, he has previously been treated for ischemic heart disease, hypertension and diabetes mellitus. CT scan of the abdomen revealed a partially thrombosed atherosclerotic aneurysm of the abdominal aorta. Hemoculture grew out Pseudomonas aeruginosa. After treatment with ciprofloxacin for 10 days, the abdominal pain and fever recurred. One week later, a blood culture grew out Salmonella group B. Ampicllin was given intravenously, however, the fever still persisted. On day 32 of admission, the patient went into shock with bleeding in the gastro-intestinal tract. The patient died on the next day despite blood transfusion. This patient represented an atheroscloerotic aneurysm of the abdominal aorta with salmonella infection and subsequent rupture.