• Clin Med (Lond) · Nov 2022

    Case Reports

    Image of the month: Mycotic aortic arch pseudoaneurysm due to Salmonella enterica.

    • Chunyan Jiang and Hongwei Li.
    • Beijing Friendship Hospital, Beijing, China.
    • Clin Med (Lond). 2022 Nov 1; 22 (6): 580581580-581.

    AbstractA 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.© Royal College of Physicians 2022. All rights reserved.

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