Salmonella spondilodiskitinin neden olduğu iliak arter rüptürünün endovasküler tedavisi

Son yıllarda tifo dışı Salmonella enfeksiyonlarının sıklığında belirgin bir artış görülmektedir. Endovasküler sistem bu enfeksiyonun en ciddi ekstraintestinal sistem tutulum yerlerinden biridir. Sıklıkla abdominal aorta tutulmakla birlikte, kemik ve eklem tutulumlarına da nadiren rastlanmaktadır. Bu yazıda Salmonella typhimurium’un neden olduğu lomber spondilodiskitin direkt invazyonuna bağlı gelişen ve endovasküler olarak başarı ile tedavi edilen nadir bir sol iliak arter rüptürü ve psödoanevrizma olgusu sunulmaktadır.

Endovascular treatment of an iliac artery rupture caused by invasive Salmonella spondylodiscitis

The rate of non-typhoid Salmonella infections has increased remarkably in recent years. Endovascular system infection is one of the most serious forms of extraintestinal Salmonella infection. The abdominal aorta is frequently involved, while bone and joint involvement are rarely seen. We present a rare case of successful endovascular treatment of a left iliac artery rupture and pseudoaneurysm both occurring due to the direct invasion of lumbar spondylodiscitis caused by Salmonella typhimurium.

___

  • Hohmann EL. Nontyphoidal salmonellosis. Clin Infect Dis 2001;32:263-9.
  • Hsu RB, Tsay YG, Chen RJ, Chu SH. Risk factors for primary bacteremia and endovascular infection in patients without acquired immunodeficiency syndrome who have nontyphoid salmonellosis. Clin Infect Dis 2003;36:829
  • Drinković D, Taylor SL, Lang S. Five cases of non-typhoidal Salmonella endovascular infection. Intern Med J 2004;34:641-5.
  • Berchtold C, Eibl C, Seelig MH, Jakob P, Schönleben K. Endovascular treatment and complete regression of an infected abdominal aortic aneurysm. J Endovasc Ther 2002;9:543-8.
  • Koeppel TA, Gahlen J, Diehl S, Prosst RL, Dueber C. Mycotic aneurysm of the abdominal aorta with retroperitoneal abscess: successful endovascular repair. J Vasc Surg 2004;40:164-6.
  • Ting AC, Cheng SW, Ho P, Poon JT. Endovascular repair for multiple Salmonella mycotic aneurysms of the thoracic aorta presenting with Cardiovocal syndrome. Eur J Cardiothorac Surg 2004;26:221-4.
  • Forbes TL, Harding GE. Endovascular repair of Salmonella-infected abdominal aortic aneurysms: a word of caution. J Vasc Surg 2006;44:198-200.
  • Kam MH, Toh LK, Tan SG, Wong D, Chia KH. A case report of endovascular stenting in Salmonella mycotic aneurysm: a successful procedure in an immunocompromised patient. Ann Acad Med Singapore 2007;36:1028
  • Hartman V, Jiang H, Thomas B. Succesful [Successful] endovascular repair of an abdominal mycotic aneurysm. A case report. Acta Chir Belg 2009;109:788-90.
  • Hook EW. Salmonella species (including typhoid fever). In: Mandel GL, Douglas RG, Bennett JE, editors. Principles and practice of infectious diseases. Edinburgh: Churchill Livingstone; 1990. p. 1700-10.
  • Tautenhahn J, Fahlke J, Halloul Z, Grasshoff H, Bürger T. Single intervention for treatment of Salmonella typhimurium-induced symptomatic abdominal aortic aneurysm with spondylitis. [Article in German] Vasa 2001;30:293-6. [Abstract]
  • Mahlfeld K, Franke J, Grasshoff H. Spondylitis due to Salmonella typhimurium. [Article in German] Unfallchirurg 2003;106:334-8. [Abstract]
  • Chang IC. Salmonella spondylodiscitis in patients without sickle cell disease. Clin Orthop Relat Res 2005; 430:243
  • Winkelmann W, Schulitz KP. Spondylitis caused by Salmonella typhimurium (author’s transl). [Article in German] Z Orthop Ihre Grenzgeb 1977;115:6-8. [Abstract]
  • Choukroun G, Quint L, Amoura Z, Boudes P, Guillevin L. Salmonella typhi murium spondylodiscitis in systemic lupus. [Article in French] Ann Med Interne (Paris) 1988;139:446-7. [Abstract]
  • Kim JM, Park YH, Kim D, Park MJ, Ahn HJ, Ryoo BY, Yang SH. Salmonella vertebral osteomyelitis with sepsis in healthy adult. Korean J Med 2005;69:1003-8.
  • Learch TJ, Sakamoto B, Ling AC, Donovan SM. Salmonella spondylodiscitis associated with a mycotic abdominal aortic aneurysm and paravertebral abscess. Emerg Radiol 2009;16:147-50.
  • Weber E, Pirovino M. Mycotic aneurysm of the iliac artery caused by Salmonella infection. A case report. [Article in German] Helv Chir Acta 1992;58:601-7. [Abstract]
  • Ben RJ, Peng MY, Hsu GJ, Chen SG, Lee FY, Chou MY, et al. Infected common iliac aneurysm due to Salmonella: a case report. [Article in Chinese] Zhonghua Yi Xue Za Zhi (Taipei) 1993;52:62-5. [Abstract]