Ben Yahia Wissal¹*, Saafi Wiem¹, Guiga Ahmed¹, Thabet Maissa¹, Bouker Ahmed¹, Ben Cheikh Yasser², Atig Amira¹ and Ghannouchi Neirouz¹

¹Internal Medicine Department, Farhat Hached University Hospital of Sousse, Tunisia
²Radiology Department, Sahloul University Hospital, Tunisia

*Corresponding Author: Ben Yahia Wissal, Internal Medicine Department, Farhat Hached University Hospital of Sousse, Tunisia.

Received: March 30, 2023; Published: May 05, 2023

Abstract

Immunoglobulin A (IgA) vasculitis, or Henoch-Schönlein purpura (HSP), is a vasculitis with pathophysiology not well elucidate and infections are one of proposed triggers. We reported the case of a 55-years old man who had fever, diarrhea improved by ciprofloxacin then a vascular purpura associated knee's arthritis. He presented an acute left abdominal contracture with circulatory collapse. CT-scan revealed renal and hepatic aneurysms complicated by a rupture and a voluminous retroperitoneal left hematoma. He had an urgent embolization with clinical and radiological good results. Skin biopsy showed leukocytoclastic vasculitis with IgA deposition. Cytobacteriologic urine examination revealed the presence of Salmonella enteritidis. An articular ultrasound for the right hip joint did not show an effusion but MRI described a right coxofemoral osteoarthritis with myositis and a collection in the homolateral iliopsoas muscle. Treatment was ciprofloxacin for continued 3 months and steroid with well evolution. The review of the literature did not found aneurism as vascular manifestation of HSP whereas abdominal aneurism was associated to Salmonella infection.

 Keywords: IgA Vasculitis; Salmonella; Aneurism; Embolization; Coxofemoral Osteoarthritis

References

1. Audemard-Verger A., et al. “IgA vasculitis (Henoch–Shönlein purpura) in adults: Diagnostic and therapeutic aspects”. Autoimmune Review7 (2015): 579‑585.
2. Kawasaki Y., et al. “Methylprednisolone pulse plus mizoribine in children with Henoch–Schoenlein purpura nephritis”. Clinical Rheumatology4 (2011): 529‑535.
3. Hetland L., et al. “Henoch-Schönlein Purpura: A Literature Review”. Acta Dermato-Venereologica10 (2017): 1160‑1166.
4. Henoch-Schönlein nephritis triggered by Salmonella Enteritidis infection”. Nefrología 30 (2010).
5. “PR salmonella typhi” (2001).
6. , et al. “Pathogenesis of Henoch-Schönlein purpura nephritis” (2010).
7. Audemard-Verger A., et al. “Characteristics and Management of IgA Vasculitis (Henoch-Schönlein) in Adults: Data From 260 Patients Included in a French Multicenter Retrospective Survey: IgA VASCULITIS IN ADULTS”. Arthritis Rheumatology9 (2017): 1862‑1870.
8. Ozen S., et al. “EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: Final classification criteria”. Annals of the Rheumatic Diseases5 (2010): 798‑806.
9. Dhanoa et Fatt. “Non-typhoidal Salmonella bacteraemia Epidemiology” (2009).
10. Hoen B., et al. “Les salmonelloses non typhiques chez l’immunodéprimé”. Médecine et Maladies Infectieuses 22 (1992): 282‑28
11. Chen P-L., et al. “Extraintestinal focal infections in adults with nontyphoid Salmonella bacteraemia: predisposing factors and clinical outcome”. Journal of Internal Medicine1 (2007): 91‑100.
12. Christmann D., et al. “Manifestations extra-digestives des salmonellosis”. Médecine et Maladies Infectieuses 22 (1992): 289‑2
13. Tena D., et al. “Urinary tract infection due to non-typhoidal Salmonella: Report of 19 cases”. Journal of Infectious3 (2007): 245‑249.
14. Fiocchi O., et al. “Henoch-Schönlein Purpura after Salmonella hirschfeldii Infection”. Nephron 3 (1990): 316‑320.
15. Pirvu A., et al. “Mycotic Aneurysm of the Internal Carotid Artery”. Annals of Vascular Surgery6 (2013): 826‑830.
16. Guo Y., et al. “Mycotic aneurysm due to Salmonella species: clinical experiences and review of the literature”. The Brazilian Journal of Medical and Biological Research 9 (2018): e6864.
17. Pasveer EH., et al. “Multilevel Mycotic Aneurysms Due to Salmonella Infection: Case Report and Review of the Literature”. Annals of Vascular Surgery 44 (2017): 424.e11-424.e13.
18. Roffler S., et al. “Anévrisme mycotique aortique dans le cadre d’une entérite à salmonelles”. Swiss Medical Forum = Forum Médical Suisse (2020).
19. Huang Y-K., et al. “Clinical, Microbiologic, and Outcome Analysis of Mycotic Aortic Aneurysm: The Role of Endovascular Repair”. Surgery Infectious3 (2014): 290‑298.

Citation

Citation: Ben Yahia Wissal., et al. “IgA Vasculitis Associated Salmonella enteritidis Infection: A Case Report”.Acta Scientific Medical Sciences 7.6 (2023): 14-18.

Copyright

Copyright: © 2023 Ben Yahia Wissal., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.