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Volume 47, Number 4, August 2014

Cystic fibrosis: Experience in one institution 


Po-Lin Chen, Liang-Miin Tsai, Chung-Dann Kan, Wen-Chien Ko


Received: December 11, 2011    Revised: August 28, 2011    Accepted: March 14, 2012   

 

Corresponding author:

Wen-Chien Ko,Department of Medicine, National Cheng Kung University Medical College, Tainan, Taiwan
Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
Center for Infection Control, National Cheng Kung University Hospital, Tainan, Taiwan
Corresponding Author InformationCorresponding author. Division of Infectious Diseases, Department of Internal Medicine, National Cheng Kung University Hospital, No. 138, Sheng Li Road, 704 Tainan, Taiwan. 



 

Background and purpose: 

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. 



 

Key words:

Recurrent nontyphoid Salmonella and endovascular infections