title: Prosthetic vascular graft infection and prosthetic joint infection caused byPseudomonas stutzeri.
abstract: Pseudomonas stutzeriis infrequently isolated from clinical specimens, and if isolated, more likely represents colonization or contamination rather than infection. Despite this, there are dozens of case reports which describe clinically significantP. stutzeriinfections at variable sites. A 69-year-old man had aP. stutzeriinfection of a prosthetic vascular graft infection, which he received in Panama City. He was successfully treated with a single antipseudomonal agent for 6 weeks and the removal of the infected vascular graft. A 70-year-old man had aP. stutzeriinfection of a prosthetic joint, which was successfully treated with a single anti-pseudomonal agent for 6 weeks. There is only one other documented case of a prosthetic vascular graft infection secondary toP. stutzeri. There are 5 documented cases ofP. stutzeriprosthetic joint infections. The previous cases were treated with antibiotics and variably, source control with the removal of prosthetic material. Most cases ofP. stutzeriinfection are due to exposure in health care settings. Immunocompromised states such as HIV or hematological and solid tumor malignancies are risk factors forP. stutzeriinfection. Infections caused byP. stutzeriare far less frequent and less fatal than those caused by P. aeruginosa. The etiology of aP. stutzeriinfection could be exposure to soil and water, but also contaminated material in the health care setting or an immunocompromised state. Iatrogenic infections that are secondary to health care tourism are a potential cause of fever in the returned traveler.
authors.affiliation: Division of General Internal Medicine, Department of Medicine, University of Toronto, 190 Elizabeth Street, Toronto, ON M5G 2C4, Canada.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Bonares
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Toronto, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada.
authors.forename: Alon
authors.initials: A
authors.lastname: Vaisman
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8, Canada.
authors.forename: Abdu
authors.initials: A
authors.lastname: Sharkawy
keywords: Hospital-acquired infection; Medical tourism; Prosthetic joint infection; Prosthetic vascular graft infection