Mycotic Aneurysm of the Abdominal Aorta Caused by Salmonella Non-Typhi Treated Surgically

Ben Jmaa Hela, Masmoudi Say

Abstract

Mycotic aneurysms are irreversible dilatation, localized in the artery due to the destruction of the wall by an infectious agent. We present the case of a 65 year old man treated for saccular aortic aneurysm, infra-renal secondary to infection with Salmonella Paratyphi B. After appropriate antibiotic therapy, the patient underwent resection with aneurysmal debridement followed by anatomical reconstruction with a prosthetic graft. He recovered well and quickly returned to normal functional status. The mycotic aortic disease is rare, but severe. However, improved diagnostic tools, appropriate antibiotic treatment, recent surgical techniques have reduced the high mortality associated with this pathology.

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