A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock
We describe the successful medical management of an infected aorto-bi-Iliac endograft. In this case report, we provide an example of a patient with an infected aorto-bi-iliac endograft and how appropriate medical management may result in a positive outcome. We report a case of a 67-year-old man with...
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2020-09-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2020.1809260 |
| _version_ | 1797967377170694144 |
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| author | Harith A. Alataby Lloyd G. Muzangwa Muhamed K. Atere Joseph Bibawy Keith T. Diaz Jay M. Nfonoyim |
| author_facet | Harith A. Alataby Lloyd G. Muzangwa Muhamed K. Atere Joseph Bibawy Keith T. Diaz Jay M. Nfonoyim |
| author_sort | Harith A. Alataby |
| collection | DOAJ |
| description | We describe the successful medical management of an infected aorto-bi-Iliac endograft. In this case report, we provide an example of a patient with an infected aorto-bi-iliac endograft and how appropriate medical management may result in a positive outcome. We report a case of a 67-year-old man with several medical comorbidities who developed aorto-bi-iliac endograft infection one year after graft placement. The patient presented to our E.R. with fever, lethargy, tachycardia, tachypnea, and hypotension. The diagnosis of an infected endograft was established after excluding any other possible source of infection plus the strong radiological evidence by computed tomographic scan and WBCs labeled Indium-111 tropolone scan. Blood cultures revealed the development of Eggerthella lenta, Escherichia coli Extended-spectrum beta-lactamase (ESBL), and Enterococcus Faecalis. To our knowledge, this is a rare case of an infected endograft and bacteremia due to Eggerthella lenta. After the administration of vancomycin and Meropenem, no improvements were noted to the patient’s clinical condition. However, upon the administration of Tigecycline, the patient’s clinical condition improved. Two days later, repeat blood cultures were negative. After completion of the course of antibiotics and stabilization of other comorbidities, the patient was discharged home with long term antibiotic therapy under close control of inflammation markers. |
| first_indexed | 2024-04-11T02:29:08Z |
| format | Article |
| id | doaj.art-709a91f5d46a430b952599622ff8794f |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T02:29:08Z |
| publishDate | 2020-09-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-709a91f5d46a430b952599622ff8794f2023-01-02T21:44:28ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662020-09-0110545245510.1080/20009666.2020.18092601809260A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shockHarith A. Alataby0Lloyd G. Muzangwa1Muhamed K. Atere2Joseph Bibawy3Keith T. Diaz4Jay M. Nfonoyim5Richmond University Medical CenterRichmond University Medical CenterRichmond University Medical CenterRichmond University Medical CenterRichmond University Medical CenterRichmond University Medical CenterWe describe the successful medical management of an infected aorto-bi-Iliac endograft. In this case report, we provide an example of a patient with an infected aorto-bi-iliac endograft and how appropriate medical management may result in a positive outcome. We report a case of a 67-year-old man with several medical comorbidities who developed aorto-bi-iliac endograft infection one year after graft placement. The patient presented to our E.R. with fever, lethargy, tachycardia, tachypnea, and hypotension. The diagnosis of an infected endograft was established after excluding any other possible source of infection plus the strong radiological evidence by computed tomographic scan and WBCs labeled Indium-111 tropolone scan. Blood cultures revealed the development of Eggerthella lenta, Escherichia coli Extended-spectrum beta-lactamase (ESBL), and Enterococcus Faecalis. To our knowledge, this is a rare case of an infected endograft and bacteremia due to Eggerthella lenta. After the administration of vancomycin and Meropenem, no improvements were noted to the patient’s clinical condition. However, upon the administration of Tigecycline, the patient’s clinical condition improved. Two days later, repeat blood cultures were negative. After completion of the course of antibiotics and stabilization of other comorbidities, the patient was discharged home with long term antibiotic therapy under close control of inflammation markers.http://dx.doi.org/10.1080/20009666.2020.1809260aortoiiliac graftendovascular aneurysm repair (evar)sepsiseggerthella lentainfected aortoiiliac graft management |
| spellingShingle | Harith A. Alataby Lloyd G. Muzangwa Muhamed K. Atere Joseph Bibawy Keith T. Diaz Jay M. Nfonoyim A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock Journal of Community Hospital Internal Medicine Perspectives aortoiiliac graft endovascular aneurysm repair (evar) sepsis eggerthella lenta infected aortoiiliac graft management |
| title | A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock |
| title_full | A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock |
| title_fullStr | A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock |
| title_full_unstemmed | A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock |
| title_short | A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock |
| title_sort | rare case of an infected aortoiliac graft complicated with eggerthella lenta bacteremia and septic shock |
| topic | aortoiiliac graft endovascular aneurysm repair (evar) sepsis eggerthella lenta infected aortoiiliac graft management |
| url | http://dx.doi.org/10.1080/20009666.2020.1809260 |
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