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False aneurysm formation after Salmonella virchow infection of a pre-existent ventricular aneurysm--survival after surgical resection.
  1. S. Echevarria,
  2. R. Arjona,
  3. J. Alonso,
  4. J. A. Riancho,
  5. J. M. Revuelta,
  6. J. G. Macias
  1. Department of Internal Medicine, National Hospital Marques de Valdecilla, Faculty of Medicine, University of Santander, Spain.


    A 55 year old man with a left ventricular aneurysm, secondary to a previous myocardial infarction, was hospitalized due to a Salmonella virchow bacteraemia. During a 3-week hospital course he was persistently bacteraemic and febrile despite antibiotic treatment. Gallium isotope scanning and 2-D-echocardiography were helpful in demonstrating the presence of an infected false aneurysm at the site of a true aneurysm. Surgical resection in addition to prolonged antibiotic therapy was necessary for cure.

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