RESUMEN
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.
Asunto(s)
Aneurisma de la Aorta/cirugía , Prótesis Vascular/microbiología , Procedimientos Endovasculares/efectos adversos , Listeriosis/tratamiento farmacológico , Infecciones Relacionadas con Prótesis/cirugía , Fístula Vascular/cirugía , Anciano , Antibacterianos/uso terapéutico , Resultado Fatal , Humanos , Listeria monocytogenes/efectos de los fármacos , Masculino , Infecciones Relacionadas con Prótesis/microbiología , Fístula Vascular/microbiologíaRESUMEN
We describe two cases of prosthetic valve endocarditis caused by Propionibacterium spp. successfully treated with a combination of rifampin and intravenous penicillin. Rifampin was chosen due to its promising activity against planktonic and biofilm Propionibacterium, its favourable minimal inhibitory concentrations, its excellent oral bioavailability and tissue penetration.