Aortobronchial fistula and Listeria endograft infection after repeated T/EVAR: a rare combination

BMJ Case Rep. 2020 Mar 4;13(3):e229924. doi: 10.1136/bcr-2019-229924.

Abstract

Here we present a rare combination of aortobronchial fistula and Listeria endograft infection after repeat endovascular aortic repair. Device retention, debridement and negative pressure wound therapy, in combination with suppressive antimicrobial therapy, led to satisfactory control of infection until the patient died due to another complication. The combination of an aortobronchial fistula and Listeria endograft infection has never been described before. This present case should encourage and show clinicians the importance of an interdisciplinary approach in highly difficult clinical courses.

Keywords: drugs: infectious diseases; infections; interventional cardiology; medical management; vascular surgery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Aortic Aneurysm / surgery*
  • Blood Vessel Prosthesis / microbiology*
  • Endovascular Procedures / adverse effects*
  • Fatal Outcome
  • Humans
  • Listeria monocytogenes / drug effects
  • Listeriosis / drug therapy*
  • Male
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / surgery*
  • Vascular Fistula / microbiology
  • Vascular Fistula / surgery*

Substances

  • Anti-Bacterial Agents