European Journal of Cardio-Thoracic Surgery, Vol 1, 116-118, Copyright © 1987 by European Association for Cardio-thoracic Surgery
Mediastinal rupture of a thoracoabdominal mycotic aneurysm caused by Salmonella typhimurium in an immunocompromised patient
AJ Bogers, JW van't Wout, VM Cats, JM Quaegebeur and HA Huysmans
Department of Thoracic Surgery, University Hospital Leiden, The Netherlands.
A case is presented of rupture of a mycotic thoracoabdominal aneurysm
caused by Salmonella typhimurium in a patient on immunosuppressive therapy
following kidney transplantation. After initial medical treatment, surgery
consisted of local debridement and implantation of an aortic prosthesis.
Lifelong antibiotic treatment was prescribed because of the combination of
immunosuppressive therapy, the history of recurrent S. typhimurium
bacteremia and the presence of an aortic prosthesis.