PT  - JOURNAL ARTICLE
AU  - Chunyan Jiang
AU  - Hongwei Li
TI  - Image of the month: Mycotic aortic arch pseudoaneurysm due to <em>Salmonella enterica</em>
AID  - 10.7861/clinmed.2022-0404
DP  - 2022 Nov 01
TA  - Clinical Medicine
PG  - 580--581
VI  - 22
IP  - 6
4099  - http://www.rcpjournals.org/content/22/6/580.short
4100  - http://www.rcpjournals.org/content/22/6/580.full
SO  - Clin Med2022 Nov 01; 22
AB  - 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.