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Published on: April 25, 2025
Mycobacterium abscessus: a rare cause of vascular graft infection
Imran Umer1, Satish Mocherla, Joseph Horvath
1From the Internal Medicine Department and Infectious Diseases, Texas Tech University Health Science Center , Odessa, TX.
Abstract:
Prosthetic vascular graft infection (PVGI) following vascular reconstructive surgery is an uncommon but serious complication and is associated with high morbidity as well as mortality rate. Staphylococcal species are the most common organisms causing PVGI. Mycobacterium abscessus is a very rare cause of PVGI and poses a significant diagnostic and management dilemma. To the best of our knowledge, we report the third documented case of M. abscessus vascular graft infection that was diagnosed with 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) scan and treated successfully.
Insights
Prosthetic vascular graft infection is a rare but serious complication. This case highlights Mycobacterium abscessus as a cause, successfully diagnosed with FDG-PET/CT imaging.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Medical Imaging
Background:
- Prosthetic vascular graft infection (PVGI) is a severe complication of vascular reconstructive surgery.
- Staphylococcal species are the most frequent pathogens implicated in PVGI.
- Mycobacterium abscessus is an exceptionally rare cause of PVGI, presenting diagnostic and therapeutic challenges.
Observation:
- This report details the third documented case of PVGI caused by Mycobacterium abscessus.
- The diagnosis was confirmed using 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) imaging.
- The patient with M. abscessus PVGI received successful treatment.
Findings:
- FDG-PET/CT imaging can be a valuable tool for diagnosing rare prosthetic vascular graft infections.
- Successful treatment of M. abscessus PVGI is achievable.
- Early and accurate diagnosis is crucial for managing PVGI.
Implications:
- This case expands the understanding of etiological agents in PVGI.
- FDG-PET/CT may play a significant role in the diagnosis of uncommon PVGI.
- Further research into the management of M. abscessus infections in prosthetic grafts is warranted.
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