Monomelic hypertrophic osteoarthropathy secondary to aortic prosthesis infection.
We describe a case of hypertrophic osteoarthropathy (HOA), exclusively located in the left lower leg and secondary to vascular prosthesis infection. Four years before, the patient underwent aortofemoral bifurcation grafting because of a ruptured aortic aneurysm. The investigations revealed prosthesis infection by Pseudomona aeruginosa and Bacteroides thetaiotamicron. The onset of HOA in a patient with a vascular prosthesis can help to achieve an early diagnosis of graft infection. The literature on this uncommon association is reviewed.
Hernández
M V
MV
Department of Rheumatology, Hospital Clínic i Provincial, University of Barcelona, Spain.
Antonio del Olmo
J
J
Orellana
C
C
Mestres
C A
CA
Mũnoz-Gómez
J
J
D001011:Aorta; D001442:Bacteroides Infections / Q000150:complications*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010005:Osteoarthropathy, Secondary Hypertrophic / Q000209:etiology*; D016459:Prosthesis-Related Infections / Q000150:complications*; D011552:Pseudomonas Infections / Q000150:complications*