Short report
A patient with fever and an abdominal aortic aneurysm
Gavin D Barlow, Stephen T Green
Department of
Infectious Diseases and Tropical Medicine, The Royal Hallamshire
Hospital, Glossop Road, Sheffield, UK
Correspondence to: Dr GD Barlow, Specialist Registrar in Medicine and Infectious Diseases, Stracathro Hospital, Brechin, Angus DD9 7QA, UK
Accepted 20 January
1999
A 55-year-old man with an abdominal aortic aneurysm presented
with fever and abdominal pain 3 weeks after an episode
of Salmonella gastroenteritis. His symptoms
persisted despite antimicrobial therapy. Two abdominal computed
tomography (CT) scans showed no evidence of aortitis. His abdominal
pain worsened and further investigation including a third CT scan
demonstrated a leaking aortic aneurysm. The wall of the aorta was shown
to contain Gram-negative bacilli. This case illustrates the difficulty
in diagnosing bacterial aortitis.
Keywords: Salmonella; aortitis
© 1999 by The Fellowship of Postgraduate Medicine
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