We report on a 43-year-old patient with septic aneurysm complicated by rupture of the pelvis of the kidney due to Salmonella enteritidis that we treated successfully by empiric therapy, then targeted antibiotic therapy and late surgical intervention with iliofemoral crossover bypass grafting and aneurysm resection. The course was complicated by deep neutropenia and chronic hepatitis C infection.
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http://dx.doi.org/10.7205/milmed.172.10.1107 | DOI Listing |
Ann Ital Chir
January 2025
Chirurgia Vascolare, PO Belcolle, ASL Viterbo, 01100 Viterbo, Italy.
Aorto-duodenal fistula (ADF) is a rare clinical condition characterized by abnormal communication between the 3rd or 4th portion of the duodenum and the aorta, typically associated with aneurysmal disease. The incidence of ADF is expected to increase, however, there remains a lack of consensus on the optimal approach for intestinal restoration. In this study, we present three cases of ADF and their respective treatments using three distinct surgical techniques.
View Article and Find Full Text PDFCureus
December 2024
Infectious Diseases, Hospital Sultanah Aminah, Johor Bahru, MYS.
Mycotic aneurysms are rare but severe complications that can arise from systemic bacterial infections, including those caused by Salmonella species. These aneurysms can progress rapidly and are associated with high mortality. A 62-year-old man with poorly controlled type 2 diabetes mellitus presented to the hospital in septic shock.
View Article and Find Full Text PDFCureus
December 2024
Infectious Disease, Tan Tock Seng Hospital, Singapore, SGP.
Nontyphoidal is a common cause of gastroenteritis but can also lead to bacteremia and extraintestinal infections, including meningitis (more frequent in children and infants), endovascular infections (e.g., endocarditis and infected aneurysms), urinary tract infections, and bone or bone marrow infections (e.
View Article and Find Full Text PDFGen Thorac Cardiovasc Surg Cases
March 2024
Department of Thoracic Surgery, Fukujuji Hospital, Kiyose-shi Tokyo, Matsuyama, 204-8522 3-1-24, Japan.
Nutrients
October 2024
Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany.
Background: Energy expenditure (EE) in patients with aneurysmal subarachnoid hemorrhage (SAH) may differ from other intracranial pathologies, such as intracerebral hemorrhage (ICH) or traumatic brain injury (TBI), due to an activation of the sympathetic nervous system. Indirect calorimetry (IC) is recommended, but is not always available. We study EE, catabolism, and metabolic stress in patients with SAH, TBI, ICH, and sepsis as controls.
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