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Lupus
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What's this?

Mycotic aneurysm of a coronary artery in SLE—a rare complication of salmonella infection

HS Howe

Department of Rheumatology and Immunology, Tan Tock Seng Hospital, Singapore

Jsl Wong

Formerly from the Department of Radiology, Singapore General Hospital, Singapore

ZP Ding

Department of Cardiovascular Medicine, Singapore General Hospital, Singapore

C. Sivathasan

Department of Cardiothoracic Surgery, Singapore General Hospital, Singapore

B. Ang

Department of Medicine, Singapore General Hospital, Singapore

WH Koh

Department of Rheumatology and Immunology, Tan Tock Seng Hospital, Singapore

PH Feng

Department of Rheumatology and Immunology, Tan Tock Seng Hospital, Singapore

We describe a 27 y old female systemic lupus erythematosus (SLE) patient with salmonella bacteraemia who presented with fever, back pain and an enlarging heart size. A two dimensional echocardiogram (2D Echo) showed a mass in the right atrium. Subsequent computer tomographic (CT) and magnetic resonance imaging (MRI) studies showed that this had become a ring shaped lesion at the posterior end of the interventricular septum with an area communicating with the right atrial cavity. At operation a ruptured mycotic aneurysm of the right coronary artery was found. This is the first report of an SLE patient with a coronary artery mycotic aneurysm due to salmonella and the first reported case of survival following rupture of such an aneurysm.

Key Words: SLE • salmonella • coronary artery mycotic aneurysm • MRI • right atrial mass

Lupus, Vol. 6, No. 4, 404-407 (1997)
DOI: 10.1177/096120339700600411
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This article has been cited by other articles:


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