Is 2 weeks of antibiotic therapy enough to treat elderly patients with nontyphoid Salmonella bacteremia? A case report of fatal endovascular infection

Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi
Po-Lin ChenWen-Chien Ko

Abstract

Nontyphoid Salmonella (NTS) can cause invasive diseases in the elderly. Notably, the most feared complication of NTS bacteremia is endovascular infection. The risk factors for infected aortic aneurysm include old age and atherosclerosis. Extended use of antimicrobial therapy (> 2 weeks) for NTS bacteremia should be considered for those who demonstrate the risk factors for endovascular infection, even when a metastatic focus is clinically elusive. Herein, we report the case of a 75-year-old patient with diabetes mellitus, hypertension, chronic kidney disease, and myocardial infarction who died of an infected aortic aneurysm despite 3 weeks of antibiotic therapy that was administered to treat the initial NTS bacteremia.

References

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Citations

Apr 18, 2015·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Wan-Ling ChengWen-Chien Ko
Jun 28, 2018·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·Yiqun GuoLi Gu
May 16, 2017·Case Reports in Surgery·Floryn CherbanykVéronique Erard
Aug 23, 2020·Pathogens·Pierangelo ChinelloNicola Petrosillo

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