Psoas abscess associated with aortic endograft infection caused by bacteremia of Listeria monocytogenes A case report and literature review (CARE Complaint)

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题名:	Psoas abscess associated with aortic endograft infection caused by bacteremia of Listeria monocytogenes A case report and literature review (CARE Complaint)
作者:	Jen-Wen Ma;Sung-Yuan Hu;Tzu-Chieh Lin;Che-An Tsai
关键词:	aortic aneurysm;bacteremia;endograft infection;Listeria monocytogenes;psoas abscess
日期:	2019-11-11
上传时间:	2021-08-17T01:20:38Z (UTC)
出版者:	Wolters Kluwer Health, Inc.
摘要:	Rationale: Endograft infection following endovascular stent for aortic aneurysm is rare (0.6%–3%), but it results in high mortality rate of 25% to 88%. Patient concerns: A 66-year-old hypertensive man underwent an endovascular stent graft for abdominal aortic aneurysm 18 months ago. Recurrent episodes of fever, chills, and abdominal fullness occurred 6 months ago before this admission. Laboratory data showed 20 mg/dL of C-reactive protein and abdominal computed tomography (CT) revealed an aortic endoleak at an urban hospital, so 4-day course of intravenous (IV) amoxicillin/clavulanic acid was given and he was discharged after fever subsided. He was admitted to our hospital due to fever, chills, and watery diarrhea for 1 day. Abdominal CT showed left psoas abscess associated with endograft infection. Blood culture grew Listeria monocytogenes. Diagnosis: Left psoas abscess associated with endograft infection caused by bacteremia of Listeria monocytogenes. Interventions: IV ampicillin with 8 days of synergistic gentamicin was prescribed and it created satisfactory response. Ampicillin was continued for 30 days and then shifted to IV co-trimoxazole for 12 days. Outcomes: He remained asymptomatic with a decline of CRP to 0.36 mg/dL and ESR to 39 mm/h. He was discharged on the 44th hospital day. Orally SMX/TMP was prescribed for 13.5 months. Lessons: Only few cases of aortic endograft infection caused by Listeria monocytogenes had been reported. In selected cases, particularly with smoldering presentations and high operative risk, endograft retention with a prolonged antimicrobial therapy seem plausible as an initial therapeutic option, complemented with percutaneous drainage or surgical debridement if necessary.
URI:	https://ir.csmu.edu.tw:8080/handle/310902500/21619
關聯:	Medicine (Baltimore). November 2019 ,Volume 98 , Issue 45 , p e17885
显示于类别:	[醫學系] 期刊論文

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