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Abdelrazeq AS, Owais AE, Mukdad F, Aldoori MI. Aortoduodenal Fistula and Streptococcal Myonecrosis. Vasc Endovascular Surg 2008; 42:268-71. [DOI: 10.1177/1538574407309678] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Pyomyositis is a rare primary bacterial infection of the skeletal muscles. Pyomyonecrosis is the most severe manifestation of this disease and is associated with a potentially devastating outcome. Patients with peripheral vascular disease presenting with pyomyositis may be difficult to distinguish from those with critical ischemia or synthetic graft sepsis. This article reports on a patient with aortobifemoral bypass graft and severe vitamin B12 deficiency who developed pyomyonecrosis and aortoduodenal fistula. This article highlights the etiologic dilemma, diagnostic difficulties, and management challenges inherent in such cases. Pitfalls in our management of this patient are discussed.
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Affiliation(s)
- Ayman S. Abdelrazeq
- Department of General Surgery, Huddersfield Royal Infirmary, Huddersfield, England,
| | - Anwar E. Owais
- Department of General Surgery, Huddersfield Royal Infirmary, Huddersfield, England
| | - Firas Mukdad
- Department of General Surgery, Huddersfield Royal Infirmary, Huddersfield, England
| | - Munther I. Aldoori
- Department of General Surgery, Huddersfield Royal Infirmary, Huddersfield, England
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