AI Article Synopsis
- A 76-year-old man with serious leg circulation issues underwent balloon angioplasty on his popliteal artery but developed complications including cellulitis and reocclusion.
- Blood tests revealed an infection caused by Staphylococcus aureus, leading to further procedures to address purulent gonitis and an infected aneurysm.
- The case highlighted the challenges of managing infections post-endovascular therapy, suggesting that using prophylactic antibiotics before such procedures could be beneficial.
Article Abstract
The case was a 76-year-old man with chronic limb-threatening ischemia. Plain old balloon angioplasty (POBA) was performed on the popliteal artery. Subsequently, he suffered from cellulitis around the POBA site, followed by reocclusion. Staphylococcus aureus was detected in a blood culture. After re-revascularization with POBA, both purulent gonitis and an infected popliteal aneurysm were observed to occur. We performed aneurysmectomy and bypass grafting with the saphenous vein and then continued antibiotic therapy. Although treatment consisted of endovascular therapy (EVT) with nothing left behind, management was difficult because of secondary infectious complications. We conclude that prophylactic antibiotics before EVT should be considered in such cases.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7835457 | PMC |
| http://dx.doi.org/10.2169/internalmedicine.5250-20 | DOI Listing |
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