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Occult Bacteraemia and Aortic Graft Infection: A Wolf in Sheep’s Clothing
| Content Provider | CiteSeerX |
|---|---|
| Author | Trautt, E. Thomas, S. Ghosh, J. Newton, P. Cockcroft, A. |
| Abstract | Copyright © 2013 E. Trautt et al.This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We report a case of late-onset aortic prosthetic vascular graft infection. We stress the importance of maintaining a high index of suspicion for any patient presenting with fever on the background of in situ prosthetic material. We present the difficulties in managing these extremely complicated, often life and limb threatening infections and suggest that a multidisciplinary team approach, involving specialist centre referral, may be key to success. We highlight the difficulties in diagnosing late-onset PVGI, where presentation can be subacute with subtle signs and confusing microbiology. In this case the presentation was pyrexia of unknown origin with multiple positive blood cultures isolating a variety of gut-associated organisms; a wolf in sheep’s clothing. 1. Background Prosthetic vascular graft infection (PVGI) is a significant complication of arterial reconstructive surgery [1]. The inci-dence has been reported to vary from 1 percent to 6 percent [2], depending on the site of the graft (infrainguinal 2–5%, aortofemoral 1-2%, and aortic 1%). Although the relative risk of PVGI is low, the clinical consequences of an infected vascu- |
| File Format | |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
