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Table 1 Main characteristics of the three cases of graft infection in P. Multicoda reported in litterature and our case

From: Vascular graft infection due to Pasteurella multocida

 

Kalish et al. (1983)

Sannella et al. (1987)

Kessler et al. (2004)

Patient reported in our observation

Age (years)

61

78

73

59

Infected graft localisation

Femoral crossover bypass

Aortobifemoral bypass

Aortobifemoral bypass

Femoral crossover bypass

Time of infection after prosthetic restoration (months)

24

30

6

32

Contamination’s source

Via a wound

Asymptomatic scratch

Symptomatic scratch

Asymptomatic scratch

Symptoms

Fever pain erythema pulses’ abolition

Flow

Painpulsatile mass

Fever pain pulsatile massquick increase

Antibiotic therapy

Ampicilline

Cefalotine

Ampicilline then ceftriaxone

Ofloxacine/

cotrimoxazole

Duration of antibiotic therapy

19 days

3 weeks

6 weeks

6 weeks

Maintenance therapy

Several monthsa

no

Doxycycline for life time

no

  1. aDuration of maintenance therapy unspecified in the publication
  2. Surgery: Partial removal of a graft portion in contact with the abscess, leaving hardware in place. Total: removal and replacement of the entire vascular equipment