Hernández M V, Antonio del Olmo J, Orellana C, Mestres C A, Mũnoz-Gómez J
Department of Rheumatology, Hospital Clínic i Provincial, University of Barcelona, Spain.
J Rheumatol. 1995 Jan;22(1):183-5.
We describe a case of hypertrophic osteoarthropathy (HOA), exclusively located in the left lower leg and secondary to vascular prosthesis infection. Four years before, the patient underwent aortofemoral bifurcation grafting because of a ruptured aortic aneurysm. The investigations revealed prosthesis infection by Pseudomona aeruginosa and Bacteroides thetaiotamicron. The onset of HOA in a patient with a vascular prosthesis can help to achieve an early diagnosis of graft infection. The literature on this uncommon association is reviewed.
我们描述了一例肥厚性骨关节病（HOA），仅累及左小腿，继发于血管假体感染。四年前，该患者因主动脉瘤破裂接受了主动脉股动脉分叉移植术。调查显示，假体感染了铜绿假单胞菌和嗜内脏拟杆菌。血管假体患者中HOA的出现有助于实现移植物感染的早期诊断。本文回顾了关于这种罕见关联的文献。
