Fungal graft infections: Case report and review of the literature
Fungal intravascular graft infections are rare. In addition to our case, which forms the basis of this article, only 13 documented instances could be found in the literature in the 20-year period from 1966 to 1986. Three of these cases (21%) had both fungus and bacteria grown in culture. Candida and...
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| Veröffentlicht in: | Journal of vascular surgery 1987-10, Vol.6 (4), p.398-402 |
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| container_title | Journal of vascular surgery |
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| creator | Doscher, William Krishnasastry, K.V. Deckoff, Stephen L. |
| description | Fungal intravascular graft infections are rare. In addition to our case, which forms the basis of this article, only 13 documented instances could be found in the literature in the 20-year period from 1966 to 1986. Three of these cases (21%) had both fungus and bacteria grown in culture. Candida and Aspergillus species constituted most of the infecting organisms (79%). There was no obvious difference in the clinical presentations between fungal and bacterial infections. In two cases (14%), there was a strong predisposition toward fungal infection: one in a patient with pulmonary histoplasmosis and one in a patient with leukemia. Appropriate intervention appears to be graft excision and extraanatomic bypass with concomitant therapy with amphotericin B. Survival with this approach was 84%, whereas other methods yielded a survival rate of 20%. |
| doi_str_mv | 10.1016/0741-5214(87)90012-7 |
| format | Article |
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In addition to our case, which forms the basis of this article, only 13 documented instances could be found in the literature in the 20-year period from 1966 to 1986. Three of these cases (21%) had both fungus and bacteria grown in culture. Candida and Aspergillus species constituted most of the infecting organisms (79%). There was no obvious difference in the clinical presentations between fungal and bacterial infections. In two cases (14%), there was a strong predisposition toward fungal infection: one in a patient with pulmonary histoplasmosis and one in a patient with leukemia. Appropriate intervention appears to be graft excision and extraanatomic bypass with concomitant therapy with amphotericin B. Survival with this approach was 84%, whereas other methods yielded a survival rate of 20%.</description><subject>Adult</subject><subject>Aged</subject><subject>Aorta - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Vessel Prosthesis - adverse effects</subject><subject>Candidiasis - diagnosis</subject><subject>Candidiasis - etiology</subject><subject>Candidiasis - therapy</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycoses - diagnosis</subject><subject>Mycoses - etiology</subject><subject>Mycoses - therapy</subject><subject>Postoperative Complications</subject><subject>Surgical Wound Infection - diagnosis</subject><subject>Surgical Wound Infection - therapy</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotX78A4U9iOhhNV-bZD0IpVgVCl70HLLZSY1sd2uyq_jvTW3p0dMMvM87DA9CZwTfEEzELZac5AUl_ErJ6xJjQnO5h8YElzIXCpf7aLxDDtFRjB-JIYWSIzRiDJdMkTGazIZ2YZpsEYzrM986sL3v2niXTU2ELMCqC31m2jqtXx6-s85l_Ttkje8hmH4IcIIOnGkinG7nMXqbPbxOn_L5y-PzdDLPLSdM5lUtgZGa87KURUkqJmxlKkesK7igwnFruKkp0JQAp4UohTGcSldgRYkU7Bhdbu6uQvc5QOz10kcLTWNa6IaoVZKimFQJ5BvQhi7GAE6vgl-a8KMJ1mtzeq1Fr7VoJfWfOS1T7Xx7f6iWUO9KW1Upv9jmJlrTuGBa6-MOk0JxpmjC7jcYJBfJWNDRemgt1D4kt7ru_P9__AJ6I4g9</recordid><startdate>198710</startdate><enddate>198710</enddate><creator>Doscher, William</creator><creator>Krishnasastry, K.V.</creator><creator>Deckoff, Stephen L.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198710</creationdate><title>Fungal graft infections: Case report and review of the literature</title><author>Doscher, William ; Krishnasastry, K.V. ; Deckoff, Stephen L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4137-bd7e31d44997591b36cbabf1cf54626f4ca4ad2e2b36e425696aa427f50821763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aorta - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Vessel Prosthesis - adverse effects</topic><topic>Candidiasis - diagnosis</topic><topic>Candidiasis - etiology</topic><topic>Candidiasis - therapy</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycoses - diagnosis</topic><topic>Mycoses - etiology</topic><topic>Mycoses - therapy</topic><topic>Postoperative Complications</topic><topic>Surgical Wound Infection - diagnosis</topic><topic>Surgical Wound Infection - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Doscher, William</creatorcontrib><creatorcontrib>Krishnasastry, K.V.</creatorcontrib><creatorcontrib>Deckoff, Stephen L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Doscher, William</au><au>Krishnasastry, K.V.</au><au>Deckoff, Stephen L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fungal graft infections: Case report and review of the literature</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>1987-10</date><risdate>1987</risdate><volume>6</volume><issue>4</issue><spage>398</spage><epage>402</epage><pages>398-402</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>Fungal intravascular graft infections are rare. In addition to our case, which forms the basis of this article, only 13 documented instances could be found in the literature in the 20-year period from 1966 to 1986. Three of these cases (21%) had both fungus and bacteria grown in culture. Candida and Aspergillus species constituted most of the infecting organisms (79%). There was no obvious difference in the clinical presentations between fungal and bacterial infections. In two cases (14%), there was a strong predisposition toward fungal infection: one in a patient with pulmonary histoplasmosis and one in a patient with leukemia. Appropriate intervention appears to be graft excision and extraanatomic bypass with concomitant therapy with amphotericin B. Survival with this approach was 84%, whereas other methods yielded a survival rate of 20%.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>3309381</pmid><doi>10.1016/0741-5214(87)90012-7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of vascular surgery, 1987-10, Vol.6 (4), p.398-402 |
| issn | 0741-5214 1097-6809 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Aorta - surgery Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis - adverse effects Candidiasis - diagnosis Candidiasis - etiology Candidiasis - therapy Cardiology. Vascular system Diseases of the aorta Female Humans Male Medical sciences Middle Aged Mycoses - diagnosis Mycoses - etiology Mycoses - therapy Postoperative Complications Surgical Wound Infection - diagnosis Surgical Wound Infection - therapy |
| title | Fungal graft infections: Case report and review of the literature |
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