Pasteurella multocida Infection of a Prosthetic Vascular Graft

Vascular graft infection due to Pasteurella multocida

“…During the month before the infectious episode, the patient did not notice a localized cutaneous inflammatory reaction or antibiotics use. The study of three cases of vascular graft infection with P. multocida reported in the literature associated with ours (Table 1 ) shows that the case of Kalish et al ( 1983 ) can be classified in early infections with a period of 2 months after surgery, unlike the other three patients with a period between six and 32 months. Three patients had undergone a graft removal for a vascular complication including a false aneurysm 2 months before the infectious episode for Kalish et al ( 1983 ) and an occlusion of the iliac arteries 32 months before the infection for our patient.…”

“…The study of three cases of vascular graft infection with P. multocida reported in the literature associated with ours (Table 1 ) shows that the case of Kalish et al ( 1983 ) can be classified in early infections with a period of 2 months after surgery, unlike the other three patients with a period between six and 32 months. Three patients had undergone a graft removal for a vascular complication including a false aneurysm 2 months before the infectious episode for Kalish et al ( 1983 ) and an occlusion of the iliac arteries 32 months before the infection for our patient. Contamination was evident for two cases [dog licking a toe’s stump only 2 weeks after the amputation for Kalish et al ( 1983 ) and cat bites treated with amoxicillin/clavulanic acid 15 days before the infection for Kessler et al ( 2004 )].…”

“…However, in both cases, patients explained having received numerous scratches or bites without local or systemic consequences in the weeks before their hospitalization. The clinical presentation of the four patients showed mainly a major pain in the groin (Kalish and Sands 1983 ; Kessler et al 2004 ) associated, in the case reported by Sannela et al ( 1987 ), with intermittent claudication. The other relevant clinical element, for our patient and the ones of Kalish et al ( 1983 ) and Kessler et al ( 2004 ), was a pulsatile mass with a quick increase in size.…”

“…Three patients had undergone a graft removal for a vascular complication including a false aneurysm 2 months before the infectious episode for Kalish et al ( 1983 ) and an occlusion of the iliac arteries 32 months before the infection for our patient. Contamination was evident for two cases [dog licking a toe’s stump only 2 weeks after the amputation for Kalish et al ( 1983 ) and cat bites treated with amoxicillin/clavulanic acid 15 days before the infection for Kessler et al ( 2004 )]. In the case reported by Sannella et al ( 1987 ) as well as our patient, no deep or symptomatic lesions or direct animal contact with the wound were found.…”

“…This species can also be grafted on foreign implants. There are several cases reported in the literature mainly orthopedic prosthetic infections but only three published cases are reported for vascular prosthesis infections (Kalish and Sands 1983 ; Sannella et al 1987 ; Kessler et al 2004 ).…”