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(Chest. 1974;66:457-459.)
© 1974 American College of Chest Physicians

Salmonella Typhimurium Abscess Formation in a Calcified Ventricular Aneurysm

Gilbert P. Connelly M.D.1; Richard A. Matthay M.D.1; Robert W. Sponzo M.D.1; and Francis E. Smith M.D.1

1 Division of Medicine, St. Elizabeth's Hospital and Tufts University School of Medicine, Boston

A 65-years-old man with a calcified left ventricular aneurysm was hospitalized due to dehydration and hypotension secondary to severe diarrhea. Salmonella typhimurium was isolated from the blood and urine. During a three week hospital course he was persistantly febrile and the aneurysm expanded despite the administration of parenteral ampicillin and chloramphenicol. The patient died following ventricular aneurysmectomy. S typhimurium was cultured from the resected aneurysm and microscopic examination of this tissue revealed abscess formation. Presence of a ventricular aneurysm in a patient with salmonellosis not responding to therapy should suggest a focal complication such as that seen in this patient.




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 Ann. Thorac. Surg.Home page
Y. Zheng, M. K. Rai, and K. A. Adal
Salmonella infection of a ventricular aneurysm with mural thrombus
Ann. Thorac. Surg., March 1, 2000; 69(3): 939 - 940.
[Abstract] [Full Text] [PDF]


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Copyright © 1974 by the American College of Chest Physicians.