TY - JOUR T1 - Image of the month: Mycotic aortic arch pseudoaneurysm due to <em>Salmonella enterica</em> JF - Clinical Medicine JO - Clin Med SP - 580 LP - 581 DO - 10.7861/clinmed.2022-0404 VL - 22 IS - 6 AU - Chunyan Jiang AU - Hongwei Li Y1 - 2022/11/01 UR - http://www.rcpjournals.org/content/22/6/580.abstract N2 - A 61-year-old man with hypertension and psoriasis, which was treated with adalimumab, was admitted after a 1-month history of fever following a dental implantation. Computed tomography of the chest revealed a pseudoaneurysm in the aortic arch, and blood culture grew Salmonella enterica. A diagnosis of mycotic pseudoaneurysm of the aortic arch due to Salmonella was made, and he was treated with cefoperazone–sulbactam. During his hospital stay, he developed hoarseness followed by haemoptysis, and underwent thoracic endovascular aortic repair followed by emergency open surgical repair. However, he died 5 weeks after the surgery due to acute upper gastrointestinal bleeding, which was confirmed as an aortoesophageal fistula by oesophagogastroscopy. ER -