1. Pseudoaneurysm formation after Pasteurella multocida lower extremity vascular bypass graft infection
- Author
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Dana Ferrari-Light, DO, MPH, Eric Zimmermann, MD, Varuna Sundaram, MD, and Andy M. Lee, MD, FACS
- Subjects
Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Prosthetic vascular bypass graft infection is a rare complication requiring prompt identification and isolation of the organism. A 66-year-old woman developed left lower extremity pain and a pulsatile pseudoaneurysm 7 months after left common femoral to peroneal artery bypass with prosthetic polytetrafluoroethylene graft, requiring re-exploration and a jump graft. Pasteurella multocida was isolated from blood and tissue culture specimens, and the patient admitted to a new kitten that frequently bit her lower extremities. Treatment included intravenous administration of ertapenem for 6 weeks followed by lifelong oral antibiotic suppression, which may offer the best chance for limb salvage when total graft explantation would result in amputation. Keywords: Pseudoaneurysm, Pasteurella multocida, Graft infection, Vascular bypass graft
- Published
- 2019
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