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.

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.