Late infection of a Dacron carotid endarterectomy patch--a case report.
This unique case reports the nonsurgical management of a late (2 years) methicillin-resistant Staphylococcus aureus neck infection around a Dacron-patched carotid endarterectomy. Because the patient was elderly with multiple serious risk factors and no drainable material, IV and oral antibiotics were selected as initial management. Follow-up computed tomography of the neck, however, documented complete resolution of the phlegmon. While the authors remain uncertain of the long-term outcome the patient is free of local infection 2 years after diagnosis and nonoperative treatment.
Byer
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Department of Surgery, Hackensack University Medical Center, Hackensack, NJ 07601, USA. abyer@humed.com
Keys
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Panush
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Frank
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D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001672:Biocompatible Materials / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D016894:Endarterectomy, Carotid / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D011093:Polyethylene Terephthalates / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D013203:Staphylococcal Infections / Q000150:complications*; D013211:Staphylococcus aureus; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates