Abstract：
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.
摘要：
一名患有高血压和牛皮癣的61岁男子，用阿达木单抗治疗，在牙科植入后有1个月的发烧病史后入院。胸部计算机断层扫描显示主动脉弓有假性动脉瘤，血培养培养了肠道沙门氏菌。诊断为沙门氏菌引起的主动脉弓真菌性假性动脉瘤，他接受了头孢哌酮-舒巴坦治疗。在他住院期间，他出现声音嘶哑，然后出现咯血，并接受了胸主动脉腔内修复术，然后进行紧急开放手术修复。然而,术后5周因急性上消化道出血死亡,经食管胃镜检查证实为主动脉食管瘘。
