| [Abstract] Infectious aneurysm caused by Salmonella typhi is a rare disease with high mortality, and it is the most serious infection among the extraintestinal complications of Salmonella infection. This type of disease often occurs in older or immunocompromised patients, and most of the infected people show fever or pain in the corresponding position, but the early clinical manifestations are generally atypical, and doctors are prone to misdiagnosis and misdiagnosis. The treatment of infectious aneurysms caused by Salmonella typhi requires simultaneous surgery and anti-infective treatment. If the anti-infective treatment is insufficient, it is easy to cause postoperative infection recurrence, resulting in aggravation of the disease and the formation of purulent lesions locally.Here we report a case of a patient with an infectious aneurysm caused by Salmonella typhi and presented with febrile abdominal pain, who received anti-infection and endovascular repair of abdominal aortic aneurysm with stent-graft, but the patient still had recurrent fever after surgery. The blood culture showed Salmonella typhi, and the anti-infective treatment plan was adjusted according to the drug susceptibility results. After the operation, the general condition of the patient was normal, and there was no more abdominal pain and fever. |