Conservative management of MRSA periaortic graft abscess.
Following repair of ruptured abdominal aortic aneurysm a patient developed methicillin-resistant Staphylococcus aureus perigraft abscess. The patient's clinical condition did not permit conventional open surgical correction. Ultrasound-guided aspiration and insertion of percutaneous drain enabled local antibiotic irrigation accompanied by systemic therapy. At 2 years follow-up the patient remains well with no evidence of sepsis.
Tambyraja
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AL
Department of Vascular Surgery, Royal Infirmary of Edinburgh, UK. andrew.tambyraja@ed.ac.uk
Chalmers
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RT
D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed; D014640:Vancomycin / Q000627:therapeutic use*
D000900:Anti-Bacterial Agents; D014640:Vancomycin