Salmonella Typhimurium Abscess Formation in a Calcified Ventricular Aneurysm

A 65-year-old man with a calcified left ventricular aneurysm was hospitalized due to dehydration and hypotension secondary to severe diarrhea. Salmonella typhimurium was isolated from the blood and urine. During a three week hospital course he was persistently febrile and the aneurysm expanded despi...

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Veröffentlicht in:Chest 1974-10, Vol.66 (4), p.457-459
Hauptverfasser: Connelly, Gilbert P., Matthay, Richard A., Sponzo, Robert W., Smith, Francis E.
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container_end_page 459
container_issue 4
container_start_page 457
container_title Chest
container_volume 66
creator Connelly, Gilbert P.
Matthay, Richard A.
Sponzo, Robert W.
Smith, Francis E.
description A 65-year-old man with a calcified left ventricular aneurysm was hospitalized due to dehydration and hypotension secondary to severe diarrhea. Salmonella typhimurium was isolated from the blood and urine. During a three week hospital course he was persistently febrile and the aneurysm expanded despite the administration of parenteral ampicillin and chloramphenicol. The patient died following ventricular aneurysmectomy. S typhimurium was cultured from the resected aneurysm and microscopic examination of this tissue revealed abscess formation. Presence of a ventricular aneurysm in a patient with salmonellosis not responding to therapy should suggest a focal complication such as that seen in this patient.
doi_str_mv 10.1378/chest.66.4.457
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Salmonella typhimurium was isolated from the blood and urine. During a three week hospital course he was persistently febrile and the aneurysm expanded despite the administration of parenteral ampicillin and chloramphenicol. The patient died following ventricular aneurysmectomy. S typhimurium was cultured from the resected aneurysm and microscopic examination of this tissue revealed abscess formation. 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subjects Abscess - complications
Abscess - diagnostic imaging
Abscess - drug therapy
Abscess - microbiology
Abscess - surgery
Aged
Ampicillin - therapeutic use
Blood - microbiology
Calcinosis - complications
Calcinosis - diagnostic imaging
Cardiomyopathies - complications
Cardiomyopathies - diagnostic imaging
Cardiomyopathies - drug therapy
Cardiomyopathies - microbiology
Cardiomyopathies - surgery
Chloramphenicol - therapeutic use
Heart Aneurysm - complications
Heart Aneurysm - diagnostic imaging
Heart Aneurysm - surgery
Heart Ventricles
Humans
Male
Radiography
Salmonella Infections - complications
Salmonella Infections - diagnostic imaging
Salmonella Infections - drug therapy
Salmonella Infections - microbiology
Salmonella typhimurium - isolation & purification
title Salmonella Typhimurium Abscess Formation in a Calcified Ventricular Aneurysm
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