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Listeria monocytogenes infection of a prosthetic vascular graft
R Van Noyen1, R Reybrouck, P Peeters
1Dept. of Bacteriology, Imeldaziekenhuis, Bonheiden, Belgium.
Insights
A patient with a history of vascular prosthetic surgery developed acute leg ischemia. Cultures revealed Listeria monocytogenes infection, and despite antibiotic treatment, the patient succumbed to cardiorespiratory failure.
Area of Science:
- Vascular surgery
- Infectious diseases
- Bacterial infections
Background:
- A 75-year-old male presented with acute limb ischemia in his right leg.
- The patient had a history of two prior vascular prosthetic surgeries on the affected limb.
- Acute limb ischemia can be a complication of vascular prosthetic procedures.
Abstract:
A 75-year-old man was admitted for acute ischaemia of his right leg for which he had undergone vascular prosthetic surgery at another hospital, ten and three years before. Cultures of the thrombosed graft and the clots removed on re-operation were positive for Listeria monocytogenes. After parenteral treatment with amoxicillin-clavulanic acid and gentamicin, the patient died from cardiorespiratory failure.