Vascular graft infection due to Pasteurella multocida

Abstract

BackgroundVascular graft infections are infrequent complications with important morbidity and mortality rates. Pasteurella multocida, a Gram negative bacillus, is a normal oral commensal of many animals. For mankind, it is a pathogenous bacillus which is rarely implicated in vascular grafts.Case reportWe report hereafter the fourth case introduced in the international literature about vascular graft infections caused by P. multocida. The patient was successfully treated with a combination of a surgical graft change and a 6 weeks bi-antibiotic therapy.DiscussionThere is fours case reported in litterature with quite different antibiotic drugs and duration.ConclusionP. multicoda graft infection should be long with initial intravenous drug and mainteance traitement should not be required.

Recurrent pseudoaneurysm after carotid endarterectomy

“…Interestingly, the authors treated the patient nonoperatively with percutaneous drainage and graft preservation. Fourreau et al 18 reported the case of a patient whose femoral crossover graft became infected and presented with a progressively expanding pulsatile mass. Similar to our case, the patient was a cat owner who had no symptomatic or visible scratches.…”

Pseudoaneurysm formation after Pasteurella multocida lower extremity vascular bypass graft infection

“…It has been implicated as the causative agent in a broad spectrum of clinical presentations, including infection after solid organ transplantation,8, 9 bacteremia and septic shock,10, 11, 12 and cellulitis and lymphangitis 13, 14. Within the realm of vascular surgery, P. multocida has been implicated as the cause of aortitis and mycotic aortic aneurysm,15, 16, 17 infected aortic endografts,18, 19, 20, 21, 22, 23 hemodialysis access grafts, 24 and peripheral vascular bypass grafts25, 26 in several case reports. The Table shows selected similar published cases and their outcomes.…”