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Vascular2011; 21(1); 14-16; doi: 10.1258/vasc.2010.cr0258

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.
Publication Date: 2011-07-29 PubMed ID: 21803839DOI: 10.1258/vasc.2010.cr0258Google Scholar: Lookup
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Summary

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This research article documents the first known case of aortic stent graft infection caused by Streptococcus equi in a professional racehorse trainer. The paper highlights the importance of considering rare infections in patients with implanted prosthetics who frequently interact with horses and other ruminants.

Understanding the Research

The research paper illustrates the case of a previously unreported occurrence of aortic stent graft infection with Streptococcus equi in humans. This infection is typically prevalent in horses and is seldom transmitted to humans except those in frequent contact with horses such as a professional trainer in this particular case.

  • The paper begins with the identification of Streptococcus equi as a typical horse infectious disease, but rarely seen in humans unless in frequent contact with horses.
  • It then explains the occurrence of infection in the aortic stent graft, a prosthetic implant used during a common surgical procedure done to treat an aortic aneurysm, which is an infrequent complication after this kind of surgery.

Case Presentation, Investigation, and Management

The paper then delves into the specifics of the case:

  • A detailed account of the clinical presentation of the patient is provided. This includes signs and symptoms and the patient’s professional background as a racehorse trainer which potentially led to the infection.
  • The article then progresses to discuss the different investigative procedures done to diagnose the infection, including different types of imaging and lab tests.
  • The management of this case, presumably the path to treatment and recovery, is also outlined in the paper. This could include various medical interventions that may have been implemented to resolve the infection.

Significance and Conclusion

The authors conclude the paper by stressing the clinical significance and implications of this unusual case:

  • Clinicians are advised to be vigilant about the possibility of patients with prosthetic implants getting infected with rare organisms, particularly when they are in regular touch with livestock or horses.

This case demonstrates the susceptibility of patients with prosthetic devices to uncommon infections and underscores the importance of considering occupational and contact histories while diagnosing infections.

Cite This Article

APA
Parmar J, Winterbottom A, Cooke F, Lever AM, Gaunt M. (2011). Endovascular aortic stent graft infection with Streptococcus equi: the first documented case. Vascular, 21(1), 14-16. https://doi.org/10.1258/vasc.2010.cr0258

Publication

ISSN: 1708-5381
NlmUniqueID: 101196722
Country: England
Language: English
Volume: 21
Issue: 1
Pages: 14-16

Researcher Affiliations

Parmar, Jitesh
  • Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, UK. jitsparmar@yahoo.co.uk
Winterbottom, Andrew
    Cooke, Fiona
      Lever, Andrew M L
        Gaunt, Michael

          MeSH Terms

          • Aged
          • Animals
          • Anti-Bacterial Agents / therapeutic use
          • Aortic Aneurysm, Abdominal / surgery
          • Aortography / methods
          • Blood Vessel Prosthesis / adverse effects
          • Blood Vessel Prosthesis Implantation / adverse effects
          • Blood Vessel Prosthesis Implantation / instrumentation
          • Device Removal
          • Endovascular Procedures / adverse effects
          • Endovascular Procedures / instrumentation
          • Horses
          • Humans
          • Male
          • Multimodal Imaging
          • Positron-Emission Tomography
          • Prosthesis-Related Infections / diagnosis
          • Prosthesis-Related Infections / microbiology
          • Prosthesis-Related Infections / therapy
          • Prosthesis-Related Infections / transmission
          • Reoperation
          • Streptococcal Infections / diagnosis
          • Streptococcal Infections / microbiology
          • Streptococcal Infections / therapy
          • Streptococcal Infections / transmission
          • Streptococcus equi / isolation & purification
          • Tomography, X-Ray Computed
          • Treatment Outcome
          • Zoonoses

          Citations

          This article has been cited 2 times.
          1. Boyle AG, Timoney JF, Newton JR, Hines MT, Waller AS, Buchanan BR. Streptococcus equi Infections in Horses: Guidelines for Treatment, Control, and Prevention of Strangles-Revised Consensus Statement. J Vet Intern Med 2018 Mar;32(2):633-647.
            doi: 10.1111/jvim.15043pubmed: 29424487google scholar: lookup
          2. Setacci C, Chisci E, Setacci F, Ercolini L, de Donato G, Troisi N, Galzerano G, Michelagnoli S. How To Diagnose and Manage Infected Endografts after Endovascular Aneurysm Repair. Aorta (Stamford) 2014 Dec;2(6):255-64.
            doi: 10.12945/j.aorta.2014.14-036pubmed: 26798744google scholar: lookup