Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Am J Med Sci. 2014 May;347(5):421-4. doi: 10.1097/MAJ.0b013e31829aaab7.
Histoplasma infection of vascular grafts is extremely rare. To our knowledge, there are only 4 cases reported with Histoplasma capsulatum infection of the aortic graft. All had previous disseminated histoplasmosis and atherosclerotic peripheral vascular disease. They were treated surgically with explantation of the infected graft and reimplantation of new graft in extra-anatomic uninfected site. The authors present a new case of H capsulatum infection of aortofemoral bypass graft, but unlike the other cases, this case was managed without surgical intervention.
血管移植物的组织胞浆菌感染极为罕见。据我们所知，仅有 4 例报告称主动脉移植物发生荚膜组织胞浆菌感染。所有患者均有既往播散性组织胞浆菌病和动脉粥样硬化外周血管疾病。他们均接受了手术治疗，包括切除感染的移植物，并将新的移植物重新植入解剖外未感染部位。作者报告了一例新的腹主动脉-股动脉旁路移植术后荚膜组织胞浆菌感染病例，但与其他病例不同的是，该病例未进行手术干预。
