Book contents
- Frontmatter
- Contents
- Preface
- Contributors
- Part I Clinical Syndromes – General
- Part II Clinical Syndromes – Head and Neck
- Part III Clinical Syndromes – Eye
- Part IV Clinical Syndromes – Skin and Lymph Nodes
- Part V Clinical Syndromes – Respiratory Tract
- Part VI Clinical Syndromes – Heart and Blood Vessels
- 36 Endocarditis of Natural and Prosthetic Valves: Treatment and Prophylaxis
- 37 Acute Pericarditis
- 38 Myocarditis
- 39 Mediastinitis
- 40 Vascular Infection
- 41 Pacemaker, Defibrillator, and VAD Infections
- Part VII Clinical Syndromes – Gastrointestinal Tract, Liver, and Abdomen
- Part VIII Clinical Syndromes – Genitourinary Tract
- Part IX Clinical Syndromes – Musculoskeletal System
- Part X Clinical Syndromes – Neurologic System
- Part XI The Susceptible Host
- Part XII HIV
- Part XIII Nosocomial Infection
- Part XIV Infections Related to Surgery and Trauma
- Part XV Prevention of Infection
- Part XVI Travel and Recreation
- Part XVII Bioterrorism
- Part XVIII Specific Organisms – Bacteria
- Part XIX Specific Organisms – Spirochetes
- Part XX Specific Organisms – Mycoplasma and Chlamydia
- Part XXI Specific Organisms – Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific Organisms – Fungi
- Part XXIII Specific Organisms – Viruses
- Part XXIV Specific Organisms – Parasites
- Part XXV Antimicrobial Therapy – General Considerations
- Index
40 - Vascular Infection
from Part VI - Clinical Syndromes – Heart and Blood Vessels
Published online by Cambridge University Press: 05 March 2013
- Frontmatter
- Contents
- Preface
- Contributors
- Part I Clinical Syndromes – General
- Part II Clinical Syndromes – Head and Neck
- Part III Clinical Syndromes – Eye
- Part IV Clinical Syndromes – Skin and Lymph Nodes
- Part V Clinical Syndromes – Respiratory Tract
- Part VI Clinical Syndromes – Heart and Blood Vessels
- 36 Endocarditis of Natural and Prosthetic Valves: Treatment and Prophylaxis
- 37 Acute Pericarditis
- 38 Myocarditis
- 39 Mediastinitis
- 40 Vascular Infection
- 41 Pacemaker, Defibrillator, and VAD Infections
- Part VII Clinical Syndromes – Gastrointestinal Tract, Liver, and Abdomen
- Part VIII Clinical Syndromes – Genitourinary Tract
- Part IX Clinical Syndromes – Musculoskeletal System
- Part X Clinical Syndromes – Neurologic System
- Part XI The Susceptible Host
- Part XII HIV
- Part XIII Nosocomial Infection
- Part XIV Infections Related to Surgery and Trauma
- Part XV Prevention of Infection
- Part XVI Travel and Recreation
- Part XVII Bioterrorism
- Part XVIII Specific Organisms – Bacteria
- Part XIX Specific Organisms – Spirochetes
- Part XX Specific Organisms – Mycoplasma and Chlamydia
- Part XXI Specific Organisms – Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific Organisms – Fungi
- Part XXIII Specific Organisms – Viruses
- Part XXIV Specific Organisms – Parasites
- Part XXV Antimicrobial Therapy – General Considerations
- Index
Summary
Diagnosis and treatment of vascular infections is complex and depends on a variety of factors, including the location of the infected tissue, the microbiology of the infection, and patient-specific factors, such as anatomy and immune status. Purulent or suppurative thrombophlebitis is inflammation of a peripheral or central venous wall because of the presence of microorganisms. Endarteritis (or infective arteritis) and mycotic aneurysms are infections of the arterial walls; arterial aneurysms or pseudoaneurysms are usually present because endarteritis may be difficult to diagnose unless an aneurysm is present. The term mycotic aneurysm is a misnomer that refers to any arterial aneurysm of infectious cause, fungal or bacterial, and may also include secondary infections of preexisting aneurysms or pseudoaneurysms. Vascular graft infections present an even wider spectrum of disease that depends on the type and location of the graft. Management of infections located on vascular prostheses is further complicated by the fact that prosthesis excision can jeopardize a patient's life and organ function, and alternative grafting techniques, including ex situ bypass, autologous reconstruction, and a variety of other graft materials must be considered. Finally, endovascular repair of aneurysms has resulted in a variety of infectious complications of endovascular stents, stent-grafts, and other intra-arterial devices.
- Type
- Chapter
- Information
- Clinical Infectious Disease , pp. 285 - 292Publisher: Cambridge University PressPrint publication year: 2008