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Successful coaxial double-vein graft for infrarenal aortic pseudoaneurysm due to Salmonella infection associated with hepatic resection for hepatocarcinoma.

This is a case of aortic pseudoaneurysm due to Salmonella aortitis successfully treated by coaxial double-vein graft replacement (femoral vein and internal jugular vein) associated with hepatic resection for hepatocarcinoma. The aim of the technique is to improve the solidness of the vascular anastomosis and the tensile strength of the autologous vein graft, thus preventing long-term degeneration. Simultaneous hepatic resection did not affect clinical outcome. At 5-year follow-up, neither morphological alteration of the double-vein graft nor neoplastic relapse of the hepatocellular carcinoma was observed. This surgical technique could potentially improve long-term outcome and could therefore be considered a useful modification of the classic femoral vein graft for substitution of the septic infrarenal aorta when an extension to the iliac or femoral artery is not necessary.

Aneurysm, False↗

Salmonella infection in horses in England and Wales, 1973 to 1979.

During the period 1973 to 1979 the number of recorded incidents of equine salmonellosis increased from 23 in 1973 to a peak of 111 incidents in 1976, but has since decreased to 32 in 1979. Of the 416 incidents recorded during the period of the survey 292 were caused by Salmonella typhimurium and 121 by 33 different serotypes; in three instances rough strains of salmonella were involved. The number of incidents caused by serotypes other than S typhimurium increased from one in 1973 to 32 in 1976. The number of different salmonella serotypes increased from two in 1973 to 23 in 1977 and has subsequently declined. Drug resistance monitoring of salmonella strains from horses showed that most of the strains were resistant to streptomycin and sulphonamides, although resistance to other antibacterial drugs used was low. Seventeen different patterns of antibiotic resistance were observed but resistance to more than two antibiotics was uncommon.

Animals↗

Epidemiology of Salmonella infections in Trinidadian livestock farms.

Faeces of 689 diarrhoeic and non-diarrhoeic livestock were examined for salmonellae and the antibiograms of isolates were determined. Twenty-nine (4.2%) animals were positive for Salmonella. The highest prevalence was detected amongst calves with 14 (4.8%) of 293 found positive and the lowest prevalence in kids with none of 18 sampled shedding salmonellae. Twelve (4.1%) of 294 piglets and 3 (3.6%) of 84 lambs tested were positive for Salmonella. There were no statistical differences (P > or = 0.05; chi 2) between animal semi-intensively managed (4.4%) and those intensively kept (4.3%), between diarrhoeic (5.0%) and non-diarrhoeic (3.3%), between females (5.2%) and males (3.4%). Nine serotypes were isolated with a predominance of S. hadar, S. gaminara and S. typhimurium in calves, piglets and lambs, respectively. Two serotypes, S. kinshasa and S. virchow are reported for the first time in animals in the West Indies. All Salmonella strains were sensitive to ampicillin and gentamycin whereas resistance was high to tetracycline (40.0%), triple sulphur (30.0%) and streptomycin (26.7%).

Animals↗