Aortic Graft Infection With Mycobacterium Avium Complex

Vasc Endovascular Surg. 2020 Feb;54(2):191-194. doi: 10.1177/1538574419879570. Epub 2019 Oct 2.

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.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / diagnosis
  • AIDS-Related Opportunistic Infections / immunology
  • AIDS-Related Opportunistic Infections / microbiology*
  • AIDS-Related Opportunistic Infections / therapy
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Antiretroviral Therapy, Highly Active
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Blood Vessel Prosthesis / adverse effects*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Device Removal
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / immunology
  • Humans
  • Immunocompromised Host
  • Male
  • Mycobacterium avium Complex / immunology
  • Mycobacterium avium Complex / pathogenicity*
  • Mycobacterium avium-intracellulare Infection / diagnosis
  • Mycobacterium avium-intracellulare Infection / immunology
  • Mycobacterium avium-intracellulare Infection / microbiology*
  • Mycobacterium avium-intracellulare Infection / therapy
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / immunology
  • Prosthesis-Related Infections / microbiology*
  • Prosthesis-Related Infections / therapy
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents