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Ann R Coll Surg Engl. 2017 Jan;99(1):e34-e35. doi: 10.1308/rcsann.2016.0286. Epub 2016 Sep 23.

A rare case of peripheral vascular graft infection by Aspergillus fumigatus and review of the literature.

Author information

1
General Surgical Department, Queen's Hospital, Romford , Essex , UK.

Abstract

We present an unusual case of a 74-year-old woman who presented with a pseudoaneurysm at the site of a previous prosthetic femoro-popliteal bypass graft and underwent an urgent repair with pseudoaneurysm excision and extra-anatomic placement of an autologous venous graft. Microbiology examination revealed Aspergillus fumigatus infection of the graft, which is a very rare condition. Long-term antifungal medication has been administrated with positive outcome. Only a few cases have been reported in literature, mainly involving aortic grafts. Most patients are immunocompetent and with late presentation. Successful outcome can only be achieved with long-term antifungal treatment and extra-anatomic replacement of the graft.

KEYWORDS:

Aspergillus fumigatus; Vascular graft

PMID:
27659379
PMCID:
PMC5392807
DOI:
10.1308/rcsann.2016.0286
[Indexed for MEDLINE]
Free PMC Article

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