ABSTRACT
Aortic graft infection is one of the most serious complications of aortovascular surgery. Diagnosis is based on clini-cal and radiologic findings. The emphasis is put on early diagnosis and its impact on prognosis of patients. The management should be individualized. The gold standard is surgical treatment with complete excision of the infected foreign material with debridement of the surrounding tissue and repair of vascular continuity by extra-anatomic bypass or in situ bypass with autologous femoral vein or cryopreserved arterial allografts. In stable patients with high risk perioperative mortality a conservative strategy may be an alternative approach. We report the case of a 54-year-old man with complicated history of aortic repair surgery. Diagnosis made on clinical findings and radiologic images (CT angiography of aorta and positron emission tomography/computed tomography). After multidisciplinary conference conclusion the conservative strategy was recommended.Key words: antibiotic therapy - aortic graft infection - conservative treatment.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Aortic Diseases/therapy , Blood Vessel Prosthesis , Conservative Treatment , Prosthesis-Related Infections/therapy , Aorta , Aortic Diseases/diagnostic imaging , Computed Tomography Angiography , Humans , Male , Middle Aged , Positron Emission Tomography Computed Tomography , Prosthesis-Related Infections/diagnostic imaging , Transplantation, HomologousABSTRACT
Alveolar echinococcosis is a rare parasitic disease, especially of the liver, caused by the larval stage of the tapeworm Echinococcus multilocularis. At the end of the last century France, Germany, Austria and Switzerland were the regions where this disease most often manifested itself, these days this infection is diagnosed also in our territory. We describe the case of the disease of a twenty-five-year-old male with nonspecific signs and hepatomegaly, who was diagnosed on the basis of imaging and laboratory sampling. Due to inoperability the patient is now in infectologist follow-up on long-term treatment with Albendazole. He is clinically stable, included on the waiting list for liver transplantation.
Subject(s)
Echinococcosis, Hepatic , Echinococcus multilocularis , Hepatomegaly , Adult , Animals , Echinococcosis, Hepatic/diagnostic imaging , Echinococcosis, Hepatic/therapy , Hepatomegaly/diagnostic imaging , Hepatomegaly/parasitology , Hepatomegaly/therapy , Humans , MaleABSTRACT
Alveolar echinococcosis is a rare parasitic disease, especially of liver, caused by larval stage of tapeworm Echinococcus multilocularis. At the end of the last century France, Germany, Austria and Switzerland were the most often regions with this disease, these days is this infection diagnosed also in our territory. We describe the case of the disease of the twenty-five years old male with nonspecific signs and hepatomegaly, who was diagnosed on the basis of imaging and laboratory sampling. Due to inoperability the patient is now in infectologist follow-up on a long-term treatment with albendazole. He is clinically stable, included in waiting list for liver transplantation.Key words: alveolar echinococcosis - benzimidazols - Echinococcus multilocularis - parasitic disease of liver.
