<p>Non-typhoidal <i>Salmonella</i> (NTS) usually causes self-limiting gastroenteritis, but can lead to severe invasive infections, such as mycotic pseudoaneurysms, in immunocompromised patients. Here, we present the case of a 62-year-old male with NTS bacteraemia, which was complicated by an iliac artery mycotic pseudoaneurysm. The patient underwent successful endovascular management with a balloon-expandable graft stent, followed by targeted antimicrobial therapy against <i>Salmonella enterica</i> serotype Enteritidis. The patient achieved favourable clinical and radiological outcomes. This case highlights the importance of early recognition and demonstrates the effectiveness of endovascular stent-grafting as an alternative to open surgery for treating infected vascular lesions caused by NTS.</p>

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Endovascular management of a non-typhoidal Salmonella-associated mycotic pseudoaneurysm of the iliac artery: a case report

  • Elif M. Saricaoglu,
  • Irem Akdemir,
  • Elif H. Saldere,
  • Aysu Ozugergin,
  • Emre Can Celebioglu,
  • Duygu Ocal,
  • Alpay Azap

摘要

Non-typhoidal Salmonella (NTS) usually causes self-limiting gastroenteritis, but can lead to severe invasive infections, such as mycotic pseudoaneurysms, in immunocompromised patients. Here, we present the case of a 62-year-old male with NTS bacteraemia, which was complicated by an iliac artery mycotic pseudoaneurysm. The patient underwent successful endovascular management with a balloon-expandable graft stent, followed by targeted antimicrobial therapy against Salmonella enterica serotype Enteritidis. The patient achieved favourable clinical and radiological outcomes. This case highlights the importance of early recognition and demonstrates the effectiveness of endovascular stent-grafting as an alternative to open surgery for treating infected vascular lesions caused by NTS.