Mycotic renal artery degeneration and systemic sepsis caused by infected renal artery stent

A case of Staphylococcus aureus renal artery stent infection was studied. Fourteen days after the procedure, the patient had a fever, hypotension, and an elevated white blood cell (WBC) count. Blood cultures were positive for S aureus on admission and during the patient's hospitalization, despi...

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Bibliographic Details
Published in:	Journal of vascular surgery Vol. 28; no. 3; pp. 547 - 550
Main Authors:	DeMaioribus, Christopher A., Anderson, Charles A., Popham, Sandy S.G., Yeager, Terry D., Cordts, Paul R.
Format:	Journal Article Conference Proceeding
Language:	English
Published:	New York, NY Mosby, Inc 01-09-1998 Elsevier
Subjects:	Abscess - etiology Abscess - surgery Aged Bacteremia - etiology Bacterial diseases Bacterial diseases of the urinary system Biological and medical sciences Female Human bacterial diseases Humans Infectious diseases Kidney Diseases - etiology Kidney Diseases - surgery Medical sciences Renal Artery - pathology Staphylococcal Infections - etiology Staphylococcal Infections - surgery Stents Human Kidney disease Urinary system disease Renal artery Septicemia Abscess Instrumentation therapy Stent Kidney Case study Infection Bacteriosis Bacteria Micrococcales Complication Micrococcaceae Elderly Staphylococcus aureus
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Summary:	A case of Staphylococcus aureus renal artery stent infection was studied. Fourteen days after the procedure, the patient had a fever, hypotension, and an elevated white blood cell (WBC) count. Blood cultures were positive for S aureus on admission and during the patient's hospitalization, despite intravenous vancomycin therapy. Evaluation included serial CT scans, revealing increasing persistent inflammation with development of multiple renal intraparenchymal abscesses, and arteriography, showing marked degeneration of the renal artery. Therapy required resection of the renal artery/stent and nephrectomy. This case confirms the severe nature of S aureus stent infection; we recommend prophylactic antibiotics before these procedures, as well as expeditious evaluation and consideration for aggressive surgical therapy if this complication is suspected. (J Vasc Surg 1998;28:547-50.)
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0741-5214 1097-6809
DOI:	10.1016/S0741-5214(98)70143-0