Les infections endo-artérielles, complications redoutables des infections à salmonelles non typhi [Endarterial infections, redoubtable complications of non-typhi salmonella infections].

Détails

ID Serval
serval:BIB_EDBC56D7C1F3
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Les infections endo-artérielles, complications redoutables des infections à salmonelles non typhi [Endarterial infections, redoubtable complications of non-typhi salmonella infections].
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Moreillon P., Francioli P., Delacrétaz F., Weber J., Glauser M.P.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
1983
Volume
113
Numéro
51
Pages
1953-1955
Langue
français
Résumé
Three cases are reported of salmonella aortitis observed in three men aged 55, 60 and 48 years, the last of whom had a prosthetic aortic valve and ascending aorta. The microorganisms were S. typhi murium, S. paratyphi B, and S. wien. Despite antibiotic treatment two patients died of perforating aortitis. The third patient developed S. wien gastroenteritis a few days after surgical replacement of the aortic valve and the ascending aorta. Five years later he presented with several bacteremic episodes due to S. wien, which recurred despite several courses of cotrimoxazole treatment. He has now been asymptomatic for over one year under prolonged cotrimoxazole treatment. Since vascular infection may occur following non typhi salmonellosis in 5% of patients over 50, or who have underlying endothelial lesions, the question arises as to whether non typhi S. gastroenteritis should be treated with antibiotics in these high risk patients, in contrast to present recommendations.
Mots-clé
Ampicillin/therapeutic use, Aortitis/etiology, Aortitis/microbiology, Drug Combinations/therapeutic use, Enteritis/complications, Enteritis/microbiology, Humans, Male, Middle Aged, Salmonella/isolation &amp, purification, Salmonella Infections/drug therapy, Sulfamethoxazole/therapeutic use, Trimethoprim/therapeutic use, Trimethoprim-Sulfamethoxazole Combination
Pubmed
Web of science
Création de la notice
24/01/2008 13:58
Dernière modification de la notice
20/08/2019 16:15
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