title: [Localized purpura revealing vascular prosthetic graft infection].
abstract: Prosthetic graft infection after vascular reconstruction is a rare but serious complication. We report a case of infection occurring late after implantation of an iliofemoral prosthetic vascular graft. The Staphylococcus aureus infection was revealed by vascular purpura localized on the right leg 7 years after implantation of a vascular prosthesis. This case illustrates an uncommonly late clinical manifestation presenting as an acute infection 7 years after the primary operation. In this situation, the presentation differs from early infection, which generally occurs within the first four postoperative months. Diagnosis and treatment remain a difficult challenge because prosthetic graft infection is a potentially life-threatening complication. Morbidity and mortality rates are high. Here we detail specific aspects of the clinical and radiological presentation.
authors.affiliation: Service de médecine vasculaire, CHU de Nantes, 44000 Nantes, France. anne-sophie.boureau@etu.univ-nantes.fr
authors.forename: A S
authors.initials: AS
authors.lastname: Boureau
authors.forename: F
authors.initials: F
authors.lastname: Lescalie
authors.forename: E
authors.initials: E
authors.lastname: Cassagnau
authors.forename: R
authors.initials: R
authors.lastname: Clairand
authors.forename: J
authors.initials: J
authors.lastname: Connault
mesh_terms: D001157:Arterial Occlusive Diseases / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005263:Femoral Artery; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000209:etiology; D011693:Purpura / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000209:etiology
keywords: Blood vessel prosthesis; Infection; Prothèse vasculaire; Purpura; Purpura vasculaire; Staphylococcus aureus