Subject(s)
Arteriovenous Shunt, Surgical , Blood Vessel Prosthesis , Polyurethanes , Renal Dialysis , Ultrasonography, Doppler , Aged , Female , HumansABSTRACT
A woman is reported with a ten-year history of nonspecific chest pain. Bone scintigraphy showed increased local uptake, suggesting isolated sternal osteomyelitis. Radiographic investigations were positive 18 months later. Cultures of needle aspirations of the sternal bone marrow isolated Mycobacterium fortuitum as well as Mycobacterium simiae. Due to its indolent nature, nontuberculous mycobacterial disease is easily missed, especially in non-compromised hosts.
Subject(s)
Mycobacterium Infections, Nontuberculous , Osteomyelitis/microbiology , Adult , Chronic Disease , Drug Therapy, Combination , Female , Fusidic Acid/therapeutic use , Humans , Mycobacterium Infections, Nontuberculous/drug therapy , Osteomyelitis/drug therapy , Pyrazinamide/therapeutic use , SternumABSTRACT
In certain cases it can be useful to perform percutaneous transluminal angioplasty (PTA) and vascular surgery in the same session. The PTA procedure has to be performed by the radiologist through an artery that has been prepared and visualized by the vascular surgeon. This combined procedure usually lessens the number of hospitalization days and offers the patient the advantage of being cured in one session.
