IDCases · 2026
Axillofemoral prosthetic bypass infection with Listeria monocytogenes: A unique case in vascular graft infections.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Lefevre A, Sabot L, Lanoy C, Chinikar R
Аннотация
INTRODUCTION: Vascular graft infections represent a serious challenge in vascular surgery, characterized by a substantial morbidity and mortality. Listeria monocytogenes is a rare but documented pathogen in prosthetic graft infections. This is an exceedingly rare case of an axillo-femoral graft infection caused by Listeria monocytogenes.
REPORT: We report the case of a 59-year-old male with a complex vascular history, including an axillofemoral bypass, who presented with infectious symptoms and was diagnosed with a late focal infection by Listeria monocytogenes of his vascular graft. Despite the recommendation for a surgical removal of the infected prosthesis, the patient refused and was managed conservatively with long-term antibiotic therapy. This case highlights a rare pathogen in vascular graft infections and the challenges associated with its management in patients with extensive comorbidities.
DISCUSSION: Infections of prosthetic vascular grafts are rare but serious complications. They are associated with high rates of morbidity and mortality, particularly when diagnosis is delayed or surgical management is not feasible. Vascular graft infections with Listeria are uncommon and usually result from hematogenous seeding. The gold standard for treatment of infected vascular prostheses remains a complete surgical excision of the graft, reconstruction of an extra-anatomic bypass, combined with targeted antibiotic treatment.
REPORT: We report the case of a 59-year-old male with a complex vascular history, including an axillofemoral bypass, who presented with infectious symptoms and was diagnosed with a late focal infection by Listeria monocytogenes of his vascular graft. Despite the recommendation for a surgical removal of the infected prosthesis, the patient refused and was managed conservatively with long-term antibiotic therapy. This case highlights a rare pathogen in vascular graft infections and the challenges associated with its management in patients with extensive comorbidities.
DISCUSSION: Infections of prosthetic vascular grafts are rare but serious complications. They are associated with high rates of morbidity and mortality, particularly when diagnosis is delayed or surgical management is not feasible. Vascular graft infections with Listeria are uncommon and usually result from hematogenous seeding. The gold standard for treatment of infected vascular prostheses remains a complete surgical excision of the graft, reconstruction of an extra-anatomic bypass, combined with targeted antibiotic treatment.