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Lupus, Vol. 17, No. 2, 135-138 (2008)
DOI: 10.1177/0961203307085165

Rupture of renal artery aneurysm due to salmonella infection in a patient with systemic lupus erythematosus

K.M. Chiu

Department of Cardiovascular Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China, kmchius{at}yahoo.com.tw

T.Y. Lin

Department of Anesthesia, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China

J.S. Chen

Department of Cardiovascular Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China

S.H. Chu

Department of Cardiovascular Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China

Patients with systemic lupus erythematosus (SLE) are prone to infection. Immunomodulation treatment increases the susceptibility. Salmonella infections in SLE patients may present with various clinical pictures, like pneumonia, septic arthritis, osteomyelitis, peritonitis, abscess and so on. The vascular complications commonly seen in the general population with salmonella infection are rarely encountered in SLE patients. Here we report an SLE patient who presented with spontaneous rupture of salmonella mycotic aneurysm involving the left renal artery. The 54 year-old woman had a stable premorbid condition and had 30 mg prednisolone per day. Acute abdomen and hypotensive shock developed suddenly without warning signs in advance. Image and tissue culture confirmed the diagnosis. The patient had an uneventful recovery. The rare clinical scenario is reported. Lupus (2008) 17, 135—138.

Key Words: aneurysm • infections • salmonella • systemic lupus erythematosus


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