Lawsonella clevelandensis: an emerging cause of vascular graft infection.

Autor: Ramesh, Rommel, Assi, Mariam, Garrigos, Zerelda Esquer, Sohail, Muhammad Rizwan
Zdroj: BMJ Case Reports; 2/26/2021, Vol. 14, p1-5, 5p
Abstrakt: Lawsonella clevelandensis, an emerging pathogen, was first described in 2016, and has been implicated in abdominal, breast and spinal abscesses in a limited number of cases. Being a fastidious organism, it is primarily identified with molecular methods. With the incorporation of broad-range PCR testing in clinical diagnostics, L. clevelandensis has been increasingly reported in the literature. We describe a case of a 65-year- old man who presented with bilateral psoas abscesses secondary to aorto-bi- iliac vascular graft infection with L. clevelandensis identified using 16S rRNA/PCR sequencing. The patient underwent surgical resection and replacement of infected graft, followed by 6 weeks of intravenous antibiotic therapy and then chronic suppression with doxycycline and cefadroxil. He was infection-free at last follow-up. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index