MYCOTIC-ANEURYSM OF A CORONARY-ARTERY IN SLE - A RARE COMPLICATION OFSALMONELLA INFECTION

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