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A Case of Vascular Graft Infection Caused by Haemophilus parainfluenzae
Ayako Okuhama1, Yuta Murai2, Masahiro Ishikane1
1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
Abstract:
Haemophilus parainfluenzae is a gram-negative coccobacillus that is a part of the normal flora in the human upper airway and sometimes causes infective endocarditis. We present a case of a 68-year-old Japanese man who had vascular graft infection caused by H. parainfluenzae 4 years after surgery for chronic aortic dissection.
Insights
Haemophilus parainfluenzae, a common airway bacterium, can cause serious infections. This case highlights a rare vascular graft infection occurring years after aortic dissection surgery.
Area of Science:
- Microbiology
- Infectious Diseases
- Cardiovascular Surgery
Background:
- Haemophilus parainfluenzae is a commensal bacterium of the human upper respiratory tract.
- While typically benign, H. parainfluenzae can occasionally lead to invasive infections like endocarditis.
Observation:
- A 68-year-old Japanese male developed a vascular graft infection.
- The infection was attributed to H. parainfluenzae.
- The patient had undergone surgery for chronic aortic dissection four years prior.
Findings:
- This case demonstrates a delayed vascular graft infection caused by H. parainfluenzae.
- The bacterium, usually a commensal, acted as a pathogen in this immunocompetent host.
Implications:
- Highlights the potential for H. parainfluenzae to cause late-onset graft infections.
- Suggests vigilance for unusual pathogens in patients with vascular grafts.
- Underscores the importance of considering normal flora in complex post-surgical infections.
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