• Chia-Ter Chao.
• Renal Division, Department of Internal Medicine, National Taiwan University Hospital Jin-Shan Branch, New Taipei, Taiwan, ROC.
• Med Princ Pract. 2014 Jan 1; 23 (5): 482-4.

ObjectiveTo present a case of Salmonella bacteremia with a rare metastatic focus.Clinical Presentation And InterventionA 61-year-old male presented with a suicide attempt after ingestion of half a bottle of toilet cleaner. He had a medical history of intravenous drug abuse and major depression. Persistent Salmonella enteritidis bacteremia occurred during his hospitalization, and a search for the primary source of infection disclosed a mycotic abdominal aortic aneurysm. A suppurative lesion was also noted over the left pleural space, and Salmonella empyema was confirmed after thoracentesis. He underwent video-assisted thoracoscopic surgery and endovascular repair of the abdominal aortic aneurysm and was placed on long-term antibiotics, without recurrence.ConclusionS. enteritidis involvement of the cardiovascular system is a rare coincidence and results in significant morbidity and mortality. In addition, the phenomenon of secondary metastatic infective foci involving the pleural space has an even lower frequency than that of cardiovascular involvement. Therefore, a high index of suspicion and prompt treatment from the treating physicians are strongly recommended.© 2014 S. Karger AG, Basel.

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