Abstract
Acute infection of an aortic graft is a devastating complication. While resection of the infected prosthesis and extra-anatomic bypass is the established treatment, this carries a high mortality. We describe a case of early aortic graft infection with the unusual organism Acinetobacter baumanii, which was eradicated by a combination of surgical drainage and antibiotics, allowing preservation of the graft. The patient remains well 30 months later.
MeSH terms
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Acinetobacter baumannii / isolation & purification
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Aged
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Anti-Bacterial Agents / therapeutic use*
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Aortic Aneurysm, Abdominal / surgery
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Blood Vessel Prosthesis / adverse effects*
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Blood Vessel Prosthesis Implantation
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Combined Modality Therapy
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Debridement*
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Female
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Gentamicins / therapeutic use
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Humans
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Penicillanic Acid / analogs & derivatives
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Penicillanic Acid / therapeutic use
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Piperacillin / therapeutic use
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Piperacillin, Tazobactam Drug Combination
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Prosthesis-Related Infections / drug therapy*
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Prosthesis-Related Infections / microbiology
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Prosthesis-Related Infections / surgery*
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Rifampin / therapeutic use
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Gentamicins
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Piperacillin, Tazobactam Drug Combination
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Penicillanic Acid
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Rifampin
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Piperacillin