Lawsonella clevelandensis: an emerging cause of vascular graft infection. Issue 2 (26th February 2021)

• Record Type: Journal Article
• Authors: Ramesh, Rommel; Assi, Mariam; Esquer Garrigos, Zerelda; Sohail, Muhammad Rizwan
• Is Part Of: BMJ case reports. Volume 14:Issue 2(2021)
• Publication Date: 2021-02-26
• Subjects: infections -- nosocomial infections; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-237350
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Lawsonella clevelandensis, an emerging pathogen, was first described in 2016, and has been implicated in abdominal, breast and spinal abscesses in a limited number of cases. Being a fastidious organism, it is primarily identified with molecular methods. With the incorporation of broad-range PCR testing in clinical diagnostics, L. clevelandensis has been increasingly reported in the literature. We describe a case of a 65-year-old man who presented with bilateral psoas abscesses secondary to aorto-bi-iliac vascular graft infection with L. clevelandensis identified using 16S rRNA/PCR sequencing. The patient underwent surgical resection and replacement of infected graft, followed by 6 weeks of intravenous antibiotic therapy and then chronic suppression with doxycycline and cefadroxil. He was infection-free at last follow-up.