Ciprofloxacin was chosen because it is bactericidal and has good tissue penetration. However, her course was complicated by acute renal failure, disseminated intravascular coagulation and eventually she expired on the fourth hospital day. When compared with the other two cases reported previously, this case was similar to them in many respects. Assuming the episode of fever and diarrhea which occurred one month prior to admission in our patient was Salmonella gastroenteritis, treatment of this episode with antibiotics, although not recommended because of the risk of prolonging fecal excretion and inducing resistance, could have prevented this catastrophic outcome. In conclusion, mycotic aneurysm of the common iliac artery is extremely rare.
Clinical manifestations are nonspecific.
Keeping a high suspicion index and utilization of radiologic modalities such as computed tomographic scan and angiography to make an early diagnosis and a combination of prompt surgical intervention and bactericidal antibiotic therapy based on sensitivity data are essential for survival. I am indebted to Mr. Kochuplavilayil Daniel John for his secretarial assistance in preparation of the manuscript. The risk of endothelial infection in adults with Salmonella bacteremia. Principles and practice of infectious diseases. Bacterial aortitis and mycotic aneurysm of the aorta.