title: Endovascular aortic stent graft infection with Streptococcus equi: the first documented case.
abstract: Streptococcus equi is a common equine infectious disease, but transmission to man is rare and confined to those who commonly come into close contact with horses. Similarly, prosthetic stent graft infection is a rare complication of endovascular aortic aneurysm repair. We describe the first reported case of aortic stent graft with S. equi occurring in a professional racehorse trainer. Clinical presentation, investigations, imaging and management of this case are described. In conclusion, clinicians should consider infection with rare organisms in patients with prosthetic implants who regularly come into contact with horses and other ruminants.
authors.affiliation: Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, UK. jitsparmar@yahoo.co.uk
authors.forename: Jitesh
authors.initials: J
authors.lastname: Parmar
authors.forename: Andrew
authors.initials: A
authors.lastname: Winterbottom
authors.forename: Fiona
authors.initials: F
authors.lastname: Cooke
authors.forename: Andrew M L
authors.initials: AM
authors.lastname: Lever
authors.forename: Michael
authors.initials: M
authors.lastname: Gaunt
mesh_terms: D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006736:Horses; D006801:Humans; D008297:Male; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy / Q000635:transmission; D012086:Reoperation; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy / Q000635:transmission; D018502:Streptococcus equi / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015047:Zoonoses
chemical_list: D000900:Anti-Bacterial Agents