Pasturella multicoda infection of an abdominal aortic endograft  

作　　者：Desarom Teso Sally Williams Riyad Karmy-Jones 

机构地区：[1]the Divisions of Vascular Surgery,Peace Health Southwest Washington Medical Center,Vancouver,WA 98664,United States [2]Infectious Disease,Peace Health Southwest Washington Medical Center,Vancouver,WA 98664,United States

出　　处：《World Journal of Radiology》2013年第1期17-19,共3页世界放射学杂志（英文版）（电子版）

摘　　要：Both surgical and endovascular grafts have the rare risk of late secondary infection.Treatment varies based on the clinical setting,but in general the recommendations are that infected endografts be removed and reconstruction performed.In the abdominal aorta this may vary from homograft or other impregnated grafts to excision and extra-anatomic bypass.We discuss an unusual case which we believe serves as a useful review of this still debated area.A 58-year-old male presented with abdominal and back pain.Prior history was notable for human immunodeficiency virus positive status,pulmonary embolism(currently on Coumadin) and two years previously repair of a saccular infra-renal aneurysm with tube graft.The week prior to the onset of symptoms he suffered a noticeable scratch from his cat.Blood cultures were positive for pasturella multicoda.He was transferred to our institution and underwent resection and explantation,with homograft reconstruction.At one year he is alive and well.Both surgical and endovascular grafts have the rare risk of late secondary infection.Treatment varies based on the clinical setting,but in general the recommendations are that infected endografts be removed and reconstruction performed.In the abdominal aorta this may vary from homograft or other impregnated grafts to excision and extra-anatomic bypass.We discuss an unusual case which we believe serves as a useful review of this still debated area.A 58-year-old male presented with abdominal and back pain.Prior history was notable for human immunodeficiency virus positive status,pulmonary embolism(currently on Coumadin) and two years previously repair of a saccular infra-renal aneurysm with tube graft.The week prior to the onset of symptoms he suffered a noticeable scratch from his cat.Blood cultures were positive for pasturella multicoda.He was transferred to our institution and underwent resection and explantation,with homograft reconstruction.At one year he is alive and well.

关 键 词：Pasturella multicoda AORTIC ENDOGRAFT INFECTION HOMOGRAFT ANEURYSM 

分 类 号：R654.3[医药卫生—外科学]