SALMONELLA ENDOCARDITIS OF A VENTRICULAR ANEURYSM - A CASE-REPORT ANDREVIEW OF THE LITERATURE

A 63-year-old man with salmonella endocarditis of a ventricular aneury sm is presented. The patient had a documented apical aneurysm with mur al thrombus and left ventricular dysfunction following a previous myoc ardial infarction. His condition was unresponsive to maximal medical t herapy and was cured by surgery. A review of the English-language lite rature revealed that only two other published cases of nonvalvular sal monella endocarditis resulted in patient survival. This report undersc ores the importance of suspecting a cardiovascular origin in cases of salmonella bacteremia to avoid delay in diagnosis and surgical interve ntion in this deadly condition.