Long-term suppression of Salmonella aortitis with an oral antibiotic

An aneurysm of the aortic arch infected with Salmonella choleraesuis is presumed to be inevitably fatal unless the patient receives corrective surgery and antibiotic therapy. I report such a case in a patient who refused surgery and who has been maintained free of infectious symptoms for over 26 months using trimethoprim-sulfamethoxazole administered orally.