1887

Abstract

Introduction:

We present a rare case of wound and vascular graft infection caused by after reconstruction of the femoral artery bifurcation.

Case presentation:

was isolated from pus samples taken from a patient who had undergone angioplasty of the superficial femoral artery and anastomosis with a synthetic graft. The pathogen was isolated from samples taken from both the wound and the graft. Management involved wide surgical debridement and irrigation, preservation of the prosthetic graft and transposition of muscle flaps in conjunction with the administration of culture-based antimicrobials.

Conclusion:

surgical wound and vascular graft infections are uncommon, and quick diagnosis and preservation of the graft is of great importance in treatment.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.000051
2015-06-01
2024-04-19
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/2/3/jmmcr000051.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.000051&mimeType=html&fmt=ahah

References

  1. Auten G.M, Levy C.S, Smith M.A. 1991; Haemophilus parainfluenzae as a rare cause of epidural abscess: case report and review. Rev Infect Dis 13:609–612 [CrossRef]
    [Google Scholar]
  2. Back M.R. 2010; Local complications: graft infection. In Rutherford's Vascular Surgery pp 643–661Edited by Cronenwett J. L. Johnston K. W., 7th edn. Philadelphia, PA: Saunders;
    [Google Scholar]
  3. Bandyk D.F, Back M.R. 2005; Infection in prosthetic vascular grafts. In Rutherford's Vascular Surgery pp 875–894Edited by Rutherford R. B., 6th edn. Philadelphia, PA: Saunders;
    [Google Scholar]
  4. Bunt T.J. 1983; Synthetic vascular graft infections. I. Graft infections. Surgery 93:733–746
    [Google Scholar]
  5. Calligaro K.D, Veith F.J, Yuan J.G, Gargiulo N.J, Dougherty M.J. 2003; Intra-abdominal aortic graft infection: complete or partial graft preservation in patients at very high risk. J Vasc Surg 38:1199–1204 [CrossRef]
    [Google Scholar]
  6. Cardozo M.A, Frankini A.D, Bonamigo T.P. 2002; Use of superficial femoral vein in the treatment of infected aortoiliofemoral prosthetic grafts. Cardiovasc Surg 10:304–310 [CrossRef]
    [Google Scholar]
  7. Chu V.H, Sexton D.J. 2008; HACEK. In Clinical Infectious Disease pp 965–968Edited by Schlossberg D. New York: Cambridge University Press; [CrossRef]
    [Google Scholar]
  8. CLSI 2014 Performance Standards for Antimicrobial Susceptibility Testing24th Informational Supplement M100–S24 Wayne, PA: Clinical and Laboratory Standards Institute;
    [Google Scholar]
  9. Darras-Joly C, Lortholary O, Mainardi J.L, Etienne J, Guillevin L, Acar J. 1997; Haemophilus endocarditis: report of 42 cases in adults and review. Clin Infect Dis 24:1087–1094 [CrossRef]
    [Google Scholar]
  10. FitzGerald S.F, Kelly C, Humphreys H. 2005; Diagnosis and treatment of prosthetic aortic graft infections: confusion and inconsistency in the absence of evidence or consensus. J Antimicrob Chemother 56:996–999 [CrossRef]
    [Google Scholar]
  11. Gibbons C.P, Ferguson C.J, Edwards K, Roberts D.E, Osman H. 2000; Use of superficial femoropopliteal vein for suprainguinal arterial reconstruction in the presence of infection. Br J Surg 87:771–776 [CrossRef]
    [Google Scholar]
  12. Hasse B, Husmann L, Zinkernagel A, Weber R, Lachat M, Mayer D. 2013; Vascular graft infections. Swiss Med Wkly 143:w13754
    [Google Scholar]
  13. Killian M. 2003; Haemophilus. In Manual of Clinical Microbiology pp 623–635Edited by Murray P. R. Baron E. J. Jorgensen J. H. Pfaller M. A. Yolken R. H., 8th edn. Washington, DC: AMS Press;
    [Google Scholar]
  14. Lee L.N, Susarla S.M, Henstrom D.K, Hohman M.H, Durand M.L, Cheney M.L, Hadlock T.A. 2012; Surgical site infections after gracilis free flap reconstruction for facial paralysis. Otolaryngol Head Neck Surg 147:245–248 [CrossRef]
    [Google Scholar]
  15. Oill P.A, Chow A.W, Guze L.B. 1979; Adult bacteremic Haemophilus parainfluenzae infections. Seven reports of cases and a review of the literature. Arch Intern Med 139:985–988 [CrossRef]
    [Google Scholar]
  16. Steinberg J.P, Burd E.M. 2010; Other Gram-negative and Gram-variable bacilli. In Principles and Practice of Infectious Diseases pp 3015–3017Edited by Mandell G. L. Bennett J. E. Dolin R., 7th edn. Philadelphia, PA: Elsevier;
    [Google Scholar]
  17. Szilagyi D.E, Smith R.F, Elliott J.P, Vrandecic M.P. 1972; Infection in arterial reconstruction with synthetic grafts. Ann Surg 176:321–323 [CrossRef]
    [Google Scholar]
  18. Winn W.C, Allen S.D, Janda W.M, Koneman E.W, Procop G.W, Schreckenberger P.C, Woods G. 2005 Koneman's Color Atlas and Textbook of Diagnostic Microbiology, 6th edn. Philadelphia, PA: Lippincott Williams & Wilkins;
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.000051
Loading
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error