Bikk Andras, Opardija Almira, Johnson Lauren, Joseph Amin, Sekhon Ekam, Pandit Viraj
Department of Surgery, Veterans Affairs-Central California Health Care System, Fresno, CA.
Department of Infectious Disease, University of California - Fresno, Fresno, CA.
J Vasc Surg Cases Innov Tech. 2025 Jul 28;11(6):101938. doi: 10.1016/j.jvscit.2025.101938. eCollection 2025 Dec.
Zoonotic infections-bacterial, viral, fungal, or parasitic-can spread from domestic or wild animals to humans, either directly or via intermediate vectors. In vascular and endovascular surgery, infections are rare and usually caused by common bacteria with familiar presentations. In contrast, zoonotically transmitted, atypically behaving organisms pose diagnostic and therapeutic challenges due to their elusive nature and resistance to conventional detection methods. We present two rare cases of aortic endograft infections caused by and . This case series highlights the importance of early suspicion, targeted serologic and molecular diagnostics, and the role of 18F-fluorodeoxyglucose positron emission tomography/computed tomography in diagnosis.
人畜共患感染——细菌、病毒、真菌或寄生虫感染——可直接或通过中间媒介从家畜或野生动物传播给人类。在血管和血管内手术中，感染很少见，通常由表现常见的普通细菌引起。相比之下，人畜共患传播的、行为不典型的病原体因其难以捉摸的性质和对传统检测方法的抗性，给诊断和治疗带来了挑战。我们报告了两例由……和……引起的主动脉内移植物感染的罕见病例。本病例系列强调了早期怀疑、针对性血清学和分子诊断的重要性，以及18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描在诊断中的作用。
