Document Detail

Pasturella multicoda infection of an abdominal aortic endograft.
MedLine Citation:
PMID:  23493955     Owner:  NLM     Status:  PubMed-not-MEDLINE    
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.
Desarom Teso; Sally Williams; Riyad Karmy-Jones
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of radiology     Volume:  5     ISSN:  1949-8470     ISO Abbreviation:  World J Radiol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-03-15     Completed Date:  2013-03-18     Revised Date:  2014-05-15    
Medline Journal Info:
Nlm Unique ID:  101538184     Medline TA:  World J Radiol     Country:  China    
Other Details:
Languages:  eng     Pagination:  17-9     Citation Subset:  -    
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