title: Pasteurella multocida-infected expanded polytetrafluoroethylene hemodialysis access graft.
abstract: Infections are among the risks related to prosthetic hemodialysis access grafts. However, dialysis access graft infections caused by Pasteurella multocida have not been reported previously. We report a case of a P. multocida-infected nonfunctioning expanded polytetrafluoroethylene graft in the forearm after a cat bite. At surgery, the graft was completely unincorporated and was completely excised. Operative culture results were positive for P. multocida, a common oral flora found in cats and dogs. The patient was treated with intravenous ceftriaxone, and the wounds healed with local care.
authors: Vascular and Interventional Program of Cadence Healthcare, Winfield, IL 60190, USA. joe_schneider@cdh.org
authors: Joseph R
authors: JR
authors: Schneider
authors: G Wesley
authors: GW
authors: White
authors: Ernest F
authors: EF
authors: Dejesus
mesh_terms: D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000295:instrumentation; D001733:Bites and Stings / Q000150:complications; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D002415:Cats; D002443:Ceftriaxone / Q000008:administration & dosage; D020878:Device Removal; D005260:Female; D005542:Forearm / Q000098:blood supply*; D006801:Humans; D010326:Pasteurella Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016979:Pasteurella multocida / Q000302:isolation & purification*; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006435:Renal Dialysis; D012086:Reoperation; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone; D011138:Polytetrafluoroethylene