With increasing number of the elderly persons, the incidence of aortic aneurysm is increasing too. Infected aneurysm is considered as a lesion of the arterial wall due to bacterial contamination, and most infected aneurysms are the complication of preexisting aneurysms. Uncommonly an infected aortic aneurysm may rupture into adjacent internal organs or the retroperitoneum, and rarely this may result in pyogenic spondylitis. Salmonella is a relatively uncommon organism in infectious spondylitis, and accounts for less than 1% of infectious spondylitis. Salmonella spondylitis is frequently encountered in patients having an immnosuppression state, sickle cell anemia, lymphoma or chronic liver disease. Recently, the authors experienced a case of Salmonella spondylitis concomitant with a ruptured infected aortic aneurysm and reported this case with a literature reviews.