title: An unique case of thoracic endovascular aortic repair (TEVAR) graft infection with Streptococcus viridans.
abstract: The incidence of infection following TEVAR is low. To the best of our knowledge, this is the first case report of post thoracic endovascular aortic repair (TEVAR) with Streptococcus viridans graft infection. A 54-year-old male underwent TEVAR for dissecting thoracic aneurysm with spinal ischaemia. He had an eventful recovery with prolonged period of stay in intensive care unit. Three months later, he presented with persistent chest discomfort and fever. Computed tomography (CT) of the thorax revealed evidence of graft infection and the blood culture grew Streptococcus viridans. The rarity of TEVAR graft infection due to Streptococcus viridans and its management are being discussed.
authors.affiliation: Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
authors.forename: N H
authors.initials: NH
authors.lastname: Zubaidah
authors.forename: M I M
authors.initials: MI
authors.lastname: Azim
authors.forename: M H
authors.initials: MH
authors.lastname: Osama
authors.forename: H
authors.initials: H
authors.lastname: Harunarashid
authors.forename: S
authors.initials: S
authors.lastname: Das
mesh_terms: D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D016470:Bacteremia / Q000382:microbiology; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D057510:Endovascular Procedures; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology; D005334:Fever / Q000209:etiology; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D010264:Paraplegia / Q000209:etiology; D010406:Penicillins / Q000627:therapeutic use; D011183:Postoperative Complications; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography; D013116:Spinal Cord / Q000098:blood supply; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology; D034363:Viridans Streptococci / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins; D019980:Amoxicillin-Potassium Clavulanate Combination