Top

BMC Infectious Diseases

Published in:

01-12-2020 | Aneurysm | Case report

A mycotic aneurysm related to Salmonella Rissen infection: a case report

Authors: Jakub Nagrodzki, Katherine E. Sharrocks, Vanessa K. Wong, Andrew J. Carmichael

Published in: BMC Infectious Diseases | Issue 1/2020

Abstract

Background

Salmonella species commonly causes infection in humans and on occasion leads to serious complications, such as mycotic aneurysms. Here, we present the first case reported of a patient with a mycotic aneurysm likely secondary to Salmonella Rissen infection.

Case presentation

The patient presented with 4 weeks of lower back pain, chills and a single episode of diarrhoea 2 months prior during a 14-day trip to Hong Kong and Taiwan. Magnetic resonance imaging revealed an aneurysmal left internal iliac artery with adjacent left iliacus rim-enhancing collection. A stool culture was positive for Salmonella Rissen ST 469 EBG 66 on whole genome sequencing. The patient underwent an emergency bifurcated graft of his internal iliac aneurysm and was successfully treated with appropriate antibiotics.

Conclusions

This case highlights the importance of considering the diagnosis of a mycotic aneurysm in an unusual presentation of back pain with features of infection.

Bonardi S. Salmonella in the pork production chain and its impact on human health in the European Union. Epidemiol Infect. 2017;145(8):1513–26.CrossRef

Hendriksen RS, Vieira AR, Karlsmose S, Lo Fo Wong DMA, Jensen AB, Wegener HC, et al. Global monitoring of Salmonella serovar distribution from the World Health Organization Global Foodborne Infections Network Country Data Bank: results of quality assured laboratories from 2001 to 2007. Foodborne Pathog Dis. 2011;8(8):887–900 Available from: http://www.liebertonline.com/doi/abs/10.1089/fpd.2010.0787.CrossRef

Pham OH, McSorley SJ. Protective host immune responses to Salmonella infection. Future Microbiol. 2015;10(1):101–10.CrossRef

Wang J-H, Liu Y-CL, Yen M-Y, Wang J-H, Chen Y-S, Wann S-R, et al. Mycotic aneurysm due to non-typhi Salmonella: report of 16 cases. Clin Infect Dis. 1996;23(4):743–7.CrossRef

Guo Y, Bai Y, Yang C, Wang P, Gu L. Mycotic aneurysm due to Salmonella species: clinical experiences and review of the literature. Braz J Med Biol Res. 2018;51(9):1–9.CrossRef

Andrews JR, Ryan ET. Diagnostics for invasive Salmonella infections: current challenges and future directions. Vaccine. 2015;33(S3):C8–15 Available from: https://doi.org/10.1016/j.vaccine.2015.02.030.CrossRef

Harris KA, Hartley JC. Development of broad-range 16S rDNA PCR for use in the routine diagnostic clinical microbiology service. J Med Microbiol. 2003;52(8):685–91.CrossRef

Laohapensang K, Rutherford RB, Arworn S. Infected aneurysm. Ann Vasc Dis. 2010;3(1):16–23 Available from: https://www.ncbi.nlm.nih.gov/pubmed/23555383.CrossRef

Hendriksen RS, Bangtrakulnonth A, Pulsrikarn C, Pornreongwong S, Hasman H, Song SW, et al. Antimicrobial resistance and molecular epidemiology of Salmonella Rissen from animals, food products, and patients in Thailand and Denmark. Foodborne Pathog Dis. 2008;5(5):605–19 Available from: http://www.liebertonline.com/doi/abs/10.1089/fpd.2007.0075.CrossRef

10.

Boschi T, Aquilini D, Degl’Innocenti R, Aleo A, Romani C, Nicoletti P, et al. Cluster of cases of Salmonella enterica serotype rissen infection in a General Hospital, Italy. Zoonoses Public Health. 2007;57(7–8):518–22 Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1863-2378.2009.01272.x.

11.

Nadimpalli M, Fabre L, Yith V, Sem N, Gouali M, Delarocque-Astagneau E, et al. CTX-M-55-type ESBL-producing Salmonella enterica are emerging among retail meats in Phnom Penh, Cambodia. J Antimicrob Chemother. 2019;74(2):342–8.CrossRef

12.

Zhang L, Fu Y, Xiong Z, Ma Y, Wei Y, Qu X, et al. Highly prevalent multidrug-resistant salmonella from chicken and pork meat at retail markets in Guangdong, China. Front Microbiol. 2018;9:2104 Available from: https://www.ncbi.nlm.nih.gov/pubmed/30258419.CrossRef

13.

Arbune M, Ciobotaru R, Voinescu D. Endovascular infection with Salmonella group C - a case report. Germs. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4570840/pdf/germs-05-03-099.pdf.

14.

Sörelius K, di Summa PG. On the Diagnosis of Mycotic Aortic Aneurysms. Clin Med Insights Cardiol. 2018;12:1179546818759678. https://doi.org/10.1177/1179546818759678.CrossRef

15.

Daye D, Walker TG. Complications of endovascular aneurysm repair of the thoracic and abdominal aorta: evaluation and management. Cardiovasc Diagn Ther. 2018;8(S1):S138–56 Available from: http://cdt.amegroups.com/article/view/16911/19122.CrossRef

Title: A mycotic aneurysm related to Salmonella Rissen infection: a case report
Authors: Jakub Nagrodzki
Katherine E. Sharrocks
Vanessa K. Wong
Andrew J. Carmichael
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Aneurysm
Antibiotic
Aneurysm
Amoxicillin
Back Pain
Back Pain
Back Pain
Published in: BMC Infectious Diseases / Issue 1/2020
Electronic ISSN: 1471-2334
DOI: https://doi.org/10.1186/s12879-020-4819-0

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A mycotic aneurysm related to Salmonella Rissen infection: a case report

Abstract

Background

Case presentation

Conclusions

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2020

High fecal carriage of extended Beta Lactamase producing Enterobacteriaceae among adult patients admitted in referral hospitals in Dar es Salaam, Tanzania

Spatio-temporal analysis of socio-economic characteristics for pulmonary tuberculosis in Sichuan province of China, 2006–2015

Effect of age at vaccination on the measles vaccine effectiveness and immunogenicity: systematic review and meta-analysis

Prevalence and associated factors of malaria among pregnant women in Sherkole district, Benishangul Gumuz regional state, West Ethiopia

Spatial and temporal clusters of avian influenza a (H7N9) virus in humans across five epidemics in mainland China: an epidemiological study of laboratory-confirmed cases

A rare case of purulent meningitis caused by Capnocytophaga canimorsus in the Czech Republic – case report and review of the literature

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page