Delarbre X, Auzary C, Bahnini A, Nordmann P, Delfraissy J-F
Service de Médecine Interne B, Hôpital de Moulins, 10, avenue du Général-de-Gaulle, BP 609, 03006 Moulins cedex, France.
Rev Med Interne. 2007 Jun;28(6):412-5. doi: 10.1016/j.revmed.2007.02.001. Epub 2007 Mar 6.
Prosthetic vascular graft infection is a rare complication of vascular surgery. We report a case with graft enteric fistula and Actinomyces odontolyticus bacteremia.
A 73 year-old man with a prosthetic aortic graft and who had a parodontal disease, has been hospitalised for fever of unknown origin. Blood cultures grew with Escherichia coli and Actinomyces odontolyticus. The imaging studies indicated graft infection. Laparotomy has confirmed the diagnosis and highlighted a polymicrobial infection and a paraprosthetic duodenal fistula. A review of the literature's data concerning prosthetic vascular graft infections is made. The role of Actinomyces odontolyticus in that case is discussed.
Prosthetic aortic graft infection due to graft enteric fistula is usually a polymicrobial infection and is a late complication of aortic surgery. Imaging is essential for the diagnosis of prosthetic aortic graft infection. It is possible that Actinomyces odontolyticus has contributed to prosthesis infection in this case.
人工血管移植物感染是血管外科手术中一种罕见的并发症。我们报告一例伴有移植物肠瘘和溶齿放线菌血症的病例。
一名73岁男性，植入人工主动脉移植物，患有牙周疾病，因不明原因发热入院。血培养结果显示大肠埃希菌和溶齿放线菌生长。影像学检查提示移植物感染。剖腹探查术确诊了诊断，并发现了混合细菌感染和人工血管旁十二指肠瘘。对有关人工血管移植物感染的文献数据进行了综述。讨论了溶齿放线菌在该病例中的作用。
人工主动脉移植物因移植物肠瘘感染通常为混合细菌感染，是主动脉手术的晚期并发症。影像学检查对人工主动脉移植物感染的诊断至关重要。在该病例中，溶齿放线菌可能促成了假体感染。
