lock Open Access lock Peer-Reviewed




Superinfection and rupture of abdominal aortic aneurysm after Salmonella dublin septicemia: a case report

Anibal Basile FilhoI; Albert JaegerII; Antônio Capone NetoI; Mário MantovaniI

DOI: 10.1590/S0102-76381988000300011


The authors present a case of a 66 year-old woman with a dissection and rupture of abdominal aortic aneurysm after Salmonella dublin septicemia. Endovascular infection and rupture of atherosclerotic aneurysm is a substantial risk in patients older than 50 years of age who have bacteremia or sepsis due to Salmonella sp. The high mortality is the resultant of Salmonella aortitis due either to septicemia or rupture. Tissue anywhere may be seeded, but damage tissues appear to be particularly susceptible to abscess and chronic destructive lesions. The significance of early diagnosis to decrease the fatal outcome is discussed.


Os autores relatam o caso de paciente de 66 anos, que apresentou superinfecção e rotura de aneurisma da aorta abdominal, após septicemia por Salmonella dublin. As infecções endovasculares associadas à rotura de aneurisma pré-existentes são um rico potencial nos pacientes com mais de 50 anos de idade, que apresentam bacteremia ou septicemia por Salmonella sp. A alta mortalidade da aortite por salmonelose é devida à septicemia grave ou à rotura desses aneurismas. Qualquer tecido orgânico pode ser a sede de infecções metastáticas, porém os locais mais susceptíveis são os tecidos necróticos e as lesões crônicas degenerativas. Os autores discutem a importância do diagnóstico precoce para reduzir a mortalidade dessa entidade.
Full text available only in portuguese PDF format.


1. BASILE FILHO, A. & NANI, L. - A imaginologia do paciente crítico. Rev. Terap. Intensiva, 2(4): 97-104, 1988.

2. BLAISDELL, F. W. & HALL, A. D. - Axillary-femoral artery bypass for lower extremity ischemia. Surgery, 54: 563-568, 1963. [MedLine]

3. CHERUBIN, C. E.; NEU, H. C.; IMPERATO, P. J.; HARVEY, R. P.; BELLEN, N. - Septicemia with non typhoid salmonella. Medicine (Baltimore) 53: 365-376, 1974. [MedLine]

4. COHEN, O. S.; O'BRIEN, T. F.; SCHOENBAUM, S. C.; MEDEIROS, A. A. - The risk of endothelial infection in adults with salmonella bacteremia. Ann. Inter. Med., 89: 931-932, 1978.

5. DEVOLFE, C.; BARRAL, X.; LESCOEUR, N.; NINET, J.; DESCOTES, J.; PASQUIER, J. - Anéurysme infectieux de l'aorte abdominale et septicémie à salmonella: évolution favorable à 2 ands d'un cas traité par resection et pontage axillo-bi-fémoral. J. Mal. Vasc., 7: 339-344, 1982. [MedLine]

6. FOOTE, S. C. & HOOK, E. W. - Salmonella species. In: MANDELL, G. L.; DOUGLAS, R. G.; BENNET, J. E. eds. Principles and practice of infectious diseases. New York, Wiley, 1979. p. 1730-1750.

7. GILMAN, R. H.;TERMINEL, M.; LEVINE, M. M.; HERNANDEZ-MENDONSA, P.; CALDERONE, E. - Comparison of trimethoprim-sulphamethoxazole and amoxicillin in therapy of chloramphenicol-resistant and chloramphenicol-sensitive typhoid fever. J. Infect. Dis., 132: 630-636, 1975. [MedLine]

8. HOOK, E. W. & GUERRANT, R. L. - Therapy of infective endocarditis. In: KAYE, D. ed. Infective endocarditis. Baltimore, University Park Press, 1976. p. 167-169.

9. LAURENT, J. M.; DUCLOUX, G.; DELMOTTE, C.; RAPAPORT, C.; COPROS, M.; WAREMBOURG Jr., J. - Anévrysme artériel à Salmonella dublin: a propos d'un cas opéré. Larc. Méd., 5: 395-397, 1982.

10. LOUW, J. H. - Splenic-to-femoral and axillary-to-femoral bypass grafts in diffuse atherosclerotic occlusive disease. Lancet, 1: 1401-1402, 1963.

11. MEADE, R. H. & MORAN, J. M. - Salmonella arteritis: preoperative diagnosis and cure of Salmonella typhimurium aortic aneurysm. N. Engl. J. Med., 281: 310-312, 1969. [MedLine]

12. MENDELOWITZ, D. S.; RAMSTEDT, R.; YAO, J. S. T.; BERGAN, J. J. - Abdominal aortic salmonellosis. Surgery, 85: 514-519, 1979. [MedLine]

13. MILLER, A. A. - Salmonella dublin osteomyelitis of the spine: report of a fatal case. Brit. Med. J., 4: 194-195, 1954.

14. MOREILLON, P.; FRANCIOLI, P.; DELACRETAZ, F.; WEBER, J.; GLAUSER, M. P. - Les infections endo-artérielles, complications rédoutables des infections a salmonella non typhi. Schweiz. Med. Wschr., 113: 1953-1955, 1983.

15. PARSONS, R.; GREGORY, J.; PALMER, D. L. - Salmonella infections of the abdominal aorta. Rev. Infect. Dis., 5(2): 227-231, 1983. [MedLine]

16. PORSCHEN, R. K.; HALE, D.; GOODMAN, Z. - Misdiagnosed salmonella septicemia and endarteritis due to a lactose-fermenting strain. Am. J. Surg., 136: 96-101, 1978. [MedLine]

17. REICHLE, F. A.; TYSON, R. R.; SOLOFF, L. A.; LAUTSCH, E. V.; ROSEMOND, G. P. - Salmonellosis and aneurysm of the distal abdominal aorta: case report with a review. Ann. Surg., 171: 219-228, 1970. [MedLine]

18. SOWER, N. D. & WHELAN Jr., T. J. - Suppurative arteritis due to Salmonella. Surgery, 52: 851-859, 1962. [MedLine]

19. WILSON, S. E.; GORDON, H. E.; VAN VAGENEN, P. B. - Salmonella arteritis. Arch. Surg., 113: 1163-1166, 1978. [MedLine]

20. ZAK, F. G.; STRAUSS, L.; SAPHRA, I. - Rupture of diseased large arteries in the course of enterobacterial (salmonella) infections. N. Engl. J. Med., 258: 824-828, 1958. [MedLine]

Article receive on Friday, December 2, 1988

CCBY All scientific articles published at are licensed under a Creative Commons license


All rights reserved 2017 / © 2021 Brazilian Society of Cardiovascular Surgery DEVELOPMENT BY