{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T03:06:48Z","timestamp":1783998408570,"version":"3.55.0"},"reference-count":10,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Endovascular repair with covered stent is an established minimally invasive treatment for popliteal artery lesions, particularly in elderly or high-risk patients. Infectious complications are exceptionally rare but may result in arterial destruction, limb loss, and death. Salmonella species demonstrate a well-recognized affinity for diseased arterial walls and prosthetic vascular material. Case Presentation: An 82-year-old man with stage G4 chronic kidney disease and previous nephrectomy for renal cell carcinoma, complicated by Salmonella Enteritidis septic shock 20 years earlier, presented with acute left lower limb ischemia caused by a post-traumatic popliteal artery pseudoaneurysm. Urgent endovascular repair was performed using a 6 \u00d7 100 mm covered stent (Viabahn) with adjunctive angioplasty of the anterior tibial artery. Two weeks later, he was readmitted with fever, severe popliteal pain, local erythema, and elevated inflammatory markers. Imaging demonstrated early stent occlusion with a large peri-graft abscess and contained arterial rupture. Emergency open conversion included radical debridement, complete graft explantation, and popliteal-to-posterior tibial bypass using an autologous great saphenous vein. Cultures grew Salmonella Enteritidis. Retrospective history revealed a previously undocumented episode of Salmonella Enteritidis bacteremia approximately 20 years earlier. At 2-year follow-up, the patient remained free of recurrent infection with a patent vein graft and preserved ambulatory function. Conclusions: Early Salmonella Enteritidis infection of a popliteal covered stent is an exceptionally rare but life-threatening complication. This case suggests that remote Salmonella bacteremia may represent a potential, hypothesis-generating risk factor for prosthetic graft infection. Prompt graft explantation followed by radical debridement and autologous venous reconstruction remain essential for durable limb salvage.<\/jats:p>","DOI":"10.3390\/jcm15145492","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T02:34:44Z","timestamp":1783996484000},"page":"5492","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Remote Salmonella Enteritidis Bacteremia and Subsequent Covered Stent Infection: Clinical and Mechanistic Insights from a Rare Vascular Case"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3983-2096","authenticated-orcid":false,"given":"Bart\u0142omiej","family":"Anto\u0144","sequence":"first","affiliation":[{"name":"Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milena","family":"Michalska","sequence":"additional","affiliation":[{"name":"Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1697-9738","authenticated-orcid":false,"given":"Micha\u0142","family":"Macech","sequence":"additional","affiliation":[{"name":"Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witold","family":"Rongies","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u0142awomir","family":"Nazarewski","sequence":"additional","affiliation":[{"name":"Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zbigniew","family":"Ga\u0142\u0105zka","sequence":"additional","affiliation":[{"name":"Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"109S","DOI":"10.1016\/j.jvs.2021.04.040","article-title":"The Society for Vascular Surgery Clinical Practice Guidelines on Popliteal Artery Aneurysms","volume":"75","author":"Farber","year":"2022","journal-title":"J. Vasc. Surg."},{"key":"ref_2","first-page":"1658","article-title":"PARADE Study Collaborative Group. Late Outcomes of Viabahn Self-Expandable Covered Stents for the Elective Treatment of Popliteal Artery Aneurysms","volume":"82","author":"Troisi","year":"2025","journal-title":"J. Vasc. 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Insights"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2146","DOI":"10.1056\/NEJMra1805256","article-title":"Contrast-Associated Acute Kidney Injury","volume":"380","author":"Mehran","year":"2019","journal-title":"N. Engl. J. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1093\/cid\/ciae150","article-title":"Fostering Collaborative Teamwork\u2014A Comprehensive Approach to Vascular Graft Infection Following Arterial Reconstructive Surgery","volume":"78","author":"Tabaja","year":"2024","journal-title":"Clin. Infect. Dis."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/14\/5492\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T03:02:17Z","timestamp":1783998137000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/14\/5492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":10,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["jcm15145492"],"URL":"https:\/\/doi.org\/10.3390\/jcm15145492","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]}}}