Abstract
Aortic graft infections are uncommon complications after endovascular aortic surgery. In the majority of cases, gram-positive and then gram-negative organisms are the causative agents leading to this condition. Atypical organisms are traditionally not responsible for graft infection unless the patient is immunocompromised. We are reporting a case of culture-confirmed mycobacterium avium complex infection of an aortic graft in a well-controlled patient with HIV who had an undetected viral load and a CD4 count of 324 while on highly active antiretroviral therapy.
Keywords:
aortic graft infection; mycobacterial infection; mycotic aneurysm; vascular surgery.
MeSH terms
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AIDS-Related Opportunistic Infections / diagnosis
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AIDS-Related Opportunistic Infections / immunology
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AIDS-Related Opportunistic Infections / microbiology*
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AIDS-Related Opportunistic Infections / therapy
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Adult
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Anti-Bacterial Agents / therapeutic use
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Antiretroviral Therapy, Highly Active
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Aortic Aneurysm, Abdominal / diagnostic imaging
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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 / adverse effects*
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Blood Vessel Prosthesis Implantation / instrumentation
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Device Removal
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HIV Infections / diagnosis
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HIV Infections / drug therapy*
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HIV Infections / immunology
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Humans
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Immunocompromised Host
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Male
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Mycobacterium avium Complex / immunology
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Mycobacterium avium Complex / pathogenicity*
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Mycobacterium avium-intracellulare Infection / diagnosis
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Mycobacterium avium-intracellulare Infection / immunology
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Mycobacterium avium-intracellulare Infection / microbiology*
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Mycobacterium avium-intracellulare Infection / therapy
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Prosthesis-Related Infections / diagnosis
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Prosthesis-Related Infections / immunology
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Prosthesis-Related Infections / microbiology*
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Prosthesis-Related Infections / therapy
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Treatment Outcome