Disseminated histoplasmosis with embolic endovascular complications: a case report.

Abstract:

:A 57-year-old man had subacute embolic ischemia of his right foot and subsequent acute embolic ischemia of his left foot after angiography. Thrombus removed at the time of the left femoral thromboembolectomy grew Histoplasma capsulatum confirming the diagnosis of disseminated histoplasmosis. Surgical revascularization of the right leg and parenteral amphotericin B was followed by chronic ketoconazole therapy for 16 months. The patient has remained asymptomatic at 30 months after operation. Effective treatment of endovascular infection with ischemic complications of Histoplasmosis requires surgical revascularization and intensive chemotherapeutic intervention. Histoplasmosis is a ubiquitous infection in endemic areas that often has an asymptomatic subclinical course. Involvement of the cardiovascular system is rarely reported. Previous case reports have described infected cardiac valves and aortic aneurysms. This report describes the uncommon presentation of disseminated Histoplasma capsulatum infection as a peripheral embolic event and the successful management with revascularization combined with systemic amphotericin B followed by ketoconazole therapy.

journal_name

J Vasc Surg

authors

Berman SS,Kazlow GA,Fields BT Jr,Weinberg S

doi

10.1067/mva.1990.23270

subject

Has Abstract

pub_date

1990-11-01 00:00:00

pages

577-80

issue

5

eissn

0741-5214

issn

1097-6809

pii

0741-5214(90)90014-2

journal_volume

12

pub_type

杂志文章
  • Description of a risk predictive model of 30-day postoperative mortality after elective abdominal aortic aneurysm repair.

    abstract:OBJECTIVE:Despite vast improvement in the field of vascular surgery, elective abdominal aortic aneurysm (AAA) repair still leads to perioperative death. Patients with asymptomatic AAAs, therefore, would benefit from an individual risk assessment to help with decisions regarding operative intervention. The purpose of th...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2016.07.103

    authors: Eslami MH,Rybin DV,Doros G,Farber A

    更新日期:2017-01-01 00:00:00

  • The composition and mechanical properties of abdominal aortic aneurysms.

    abstract:PURPOSE:The composition and mechanical properties of abdominal aortic aneurysms (AAAs) were studied. METHODS:Stereologic study was used to measure volume fractions of the components of the aortic wall. Histochemical methods with picrosirus red and safranin O were developed to differentiate collagen from ground substan...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/0741-5214(94)90169-4

    authors: He CM,Roach MR

    更新日期:1994-07-01 00:00:00

  • A systematic review of the efficacy of aspirin monotherapy versus other antiplatelet therapy regimens in peripheral arterial disease.

    abstract:BACKGROUND:Dual antiplatelet therapy (DAPT) usually refers to the administration of aspirin plus a platelet P2Y12 receptor blocker. This combination is commonly prescribed after revascularization procedures in patients with peripheral arterial disease (PAD) to prevent failure of the intervention. However, there is not ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jvs.2018.02.047

    authors: Beiswenger AC,Jo A,Harth K,Kumins NH,Shishehbor MH,Kashyap VS

    更新日期:2018-06-01 00:00:00

  • Systematic versus selective stent placement after superficial femoral artery balloon angioplasty: a multicenter prospective randomized study.

    abstract:PURPOSE:Outcome with selective or systematic stenting with the Palmaz vascular stent was compared in patients with limb-threatening ischemia or persistent disabling claudication despite medical therapy, with less than 7 cm stenosis or occlusion of the superficial femoral artery. METHODS:This was a multicenter prospect...

    journal_title:Journal of vascular surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1067/mva.2003.155

    authors: Becquemin JP,Favre JP,Marzelle J,Nemoz C,Corsin C,Leizorovicz A

    更新日期:2003-03-01 00:00:00

  • Cryopreserved arterial allograft reconstruction for peripheral graft infection.

    abstract:OBJECTIVE:This prospective, observational study evaluated the safety and efficacy of cryopreserved arterial allograft reconstruction in the management of major peripheral arterial graft infections. METHODS:From April 1996 to May 2003, data from patients with major peripheral arterial graft infection who underwent graf...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2004.09.025

    authors: Castier Y,Francis F,Cerceau P,Besnard M,Albertin J,Fouilhe L,Cerceau O,Albaladejo P,Lesèche G

    更新日期:2005-01-01 00:00:00

  • Aortoesophageal fistula: case report and literature review.

    abstract::Fistulous communication between the aorta and esophagus is a rare but usually fatal disorder. Esophageal foreign bodies have been reported to cause aortoesophageal fistula rarely. Spontaneous aortoesophageal fistula as a result of atherosclerotic disease of the aorta has not been reported. This article describes a cas...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1067/mva.1987.avs0060379

    authors: Lui RC,Johnson FE,Horovitz JH,Cunningham JN Jr

    更新日期:1987-10-01 00:00:00

  • Thrombin injection for failed stent graft repair of perforated atherosclerotic aortic ulcer.

    abstract::We used direct thrombin injection to occlude a pseudoaneurysm that formed from a contained rupture of a penetrating atherosclerotic ulcer at the junction of the thoracic and abdominal aorta after we failed to seal the perforation with an endovascular stent graft. The principles of thrombin injection and the technical ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2003.19

    authors: Feld RS,Sullivan E,Morrison P

    更新日期:2003-01-01 00:00:00

  • Four years' results of a prospective, randomized clinical trial comparing polytetrafluoroethylene and modified human umbilical vein for below-knee femoropopliteal bypass.

    abstract::Polytetrafluoroethylene (PTFE) (Gore-Tex) and human umbilical vein (Biograft) arterial grafts were compared for below-knee femoropopliteal bypass grafting in a prospective randomized clinical trial. One hundred five patients (105 limbs) entered the trial. Seventy-six percent suffered from rest pain, ulceration, or gan...

    journal_title:Journal of vascular surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1067/mva.1987.avs0060506

    authors: Eickhoff JH,Broomé A,Ericsson BF,Buchardt Hansen HJ,Kordt KF,Mouritzen C,Kvernebo K,Norgren L,Rostad H,Trippestad A

    更新日期:1987-11-01 00:00:00

  • Anatomic characteristics and natural history of renal artery aneurysms during longitudinal imaging surveillance.

    abstract:OBJECTIVE:Renal artery aneurysms (RAAs) are uncommon, and rates of growth and rupture are unknown. Limited evidence therefore exists to guide clinical management of RAAs, particularly small aneurysms that are asymptomatic. To further characterize the natural history of RAAs, we studied anatomic characteristics and chan...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2014.03.006

    authors: Wayne EJ,Edwards MS,Stafford JM,Hansen KJ,Corriere MA

    更新日期:2014-08-01 00:00:00

  • Mechanism of dacron-activated monocytic cell oxidation of low density lipoprotein.

    abstract:PURPOSE:Oxidized lipids are believed to contribute to atherogenesis and may play a role in the development of anastomotic intimal hyperplasia in prosthetic vascular grafts. This study examines the hypothesis that clinically relevant graft material activates monocytes to oxidize low density lipoprotein (LDL). METHODS:L...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(00)70079-6

    authors: van Aalst JA,Pitsch RJ,Absood A,Fox PL,Graham LM

    更新日期:2000-01-01 00:00:00

  • Asymptomatic high-grade internal carotid artery stenosis: is stratification according to risk factors or duplex spectral analysis possible?

    abstract::High-grade (80% to 99% diameter reduction) asymptomatic internal carotid artery stenoses are associated with an increased neurologic event rate (transient ischemic attack, stroke, asymptomatic internal carotid artery occlusion) compared to less severe asymptomatic lesions. However, many do remain free of associated ev...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1989.15589

    authors: Moneta GL,Taylor DC,Zierler RE,Kazmers A,Beach K,Strandness DE Jr

    更新日期:1989-11-01 00:00:00

  • Long-term results of tissue development and cell differentiation on Dacron prostheses seeded with microvascular cells in dogs.

    abstract:PURPOSE:The purpose of this study was to investigate in vivo the long-term development, differentiation, and proliferation of the subendothelial tissue on Dacron prostheses seeded with microvascular cells (MVC). METHODS:Autologous MVC from omental adipose tissue were seeded on 4 mm Dacron prostheses and the prostheses...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Baitella-Eberle G,Groscurth P,Zilla P,Lachat M,Müller-Glauser W,Schneider J,Neudecker A,von Segesser LK,Dardel E,Turina M

    更新日期:1993-12-01 00:00:00

  • Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm.

    abstract:INTRODUCTION:Ruptured descending thoracic aortic aneurysm (rDTAA) is associated with high mortality rates. Data supporting endovascular thoracic aortic aneurysm repair (TEVAR) to reduce mortality compared with open repair are limited to small series. We investigated published reports for contemporary outcomes of open a...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jvs.2009.10.103

    authors: Jonker FH,Trimarchi S,Verhagen HJ,Moll FL,Sumpio BE,Muhs BE

    更新日期:2010-04-01 00:00:00

  • Frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the impact on prognosis.

    abstract:OBJECTIVE:Little is known about acute peripheral arterial thrombosis in patients with concomitant cancer. Small studies suggest that revascularization in this patient group is associated with thrombosis and increased risk of amputation and death. We investigated the frequency of cancer in patients operated on for acute...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2015.06.223

    authors: Nicolajsen CW,Dickenson MH,Budtz-Lilly J,Eldrup N

    更新日期:2015-12-01 00:00:00

  • A novel approach to the management of a recurrent lymphocele following a femoral-femoral bypass.

    abstract::An 86-year-old man presented with a recurrent groin lymphocele following endovascular abdominal aortic aneurysm repair using an aorto-uni-iliac reconstruction with polytetrafluoroethylene femoral-femoral crossover. Following this procedure, the patient developed a groin lymphocele. This fluid collection was treated wi...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2013.04.049

    authors: Weaver MV,Tadros RO,Phangureh VS,Faries PL,Lookstein RA,Marin ML

    更新日期:2014-04-01 00:00:00

  • Endovenectomy of the common femoral vein and intraoperative iliac vein recanalization for chronic iliofemoral venous occlusion.

    abstract::Chronic postthrombotic occlusion of the iliofemoral venous segments produces severe morbidity, which can be alleviated if venous drainage is restored. The common femoral vein (CFV) cannot always be fully recanalized with percutaneous endovenous techniques alone. We report the technique combining operative endovenectom...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2010.02.260

    authors: Comerota AJ,Grewal NK,Thakur S,Assi Z

    更新日期:2010-07-01 00:00:00

  • Prognostic role of factor XIII gene variants in nonhealing venous leg ulcers.

    abstract:OBJECTIVE:Many factors impair healing of chronic venous ulcer (CVU), and many theories have been proposed to explain their pathogenesis. Coagulation factor XIII (FXIII) influences tissue regeneration and angiogenesis with effects on wound healing. Because FXIII properties depend upon its genetic variants, we investigat...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2006.06.006

    authors: Tognazzo S,Gemmati D,Palazzo A,Catozzi L,Carandina S,Legnaro A,Tacconi G,Scapoli GL,Zamboni P

    更新日期:2006-10-01 00:00:00

  • Prediction of 30-day mortality after endovascular repair or open surgery in patients with ruptured abdominal aortic aneurysms.

    abstract:OBJECTIVE:To validate the Glasgow Aneurysm Score (GAS) in patients with ruptured abdominal aortic aneurysms (AAAs) treated with endovascular repair or open surgery and to update the GAS so that it predicts 30-day mortality for patients with ruptured AAA treated with endovascular repair or open surgery. METHODS:In a mu...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jvs.2008.12.027

    authors: Visser JJ,Williams M,Kievit J,Bosch JL,4-A Study Group.

    更新日期:2009-05-01 00:00:00

  • High hemoglobin A1c associated with increased adverse limb events in peripheral arterial disease patients undergoing revascularization.

    abstract:OBJECTIVE:Diabetes and peripheral arterial disease (PAD) are independently associated with increased risk of amputation. However, the effect of poor glycemic control on adverse limb events has not been studied. We examined the effects of poor glycemic control (high hemoglobin A1c level) on the risk of amputation and mo...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2017.06.101

    authors: Arya S,Binney ZO,Khakharia A,Long CA,Brewster LP,Wilson PW,Jordan WD Jr,Duwayri Y

    更新日期:2018-01-01 00:00:00

  • Endovascular management of acute aortic dissections.

    abstract:INTRODUCTION:Acute aortic dissection (AAD) is one of the most common aortic emergencies that vascular specialists are asked to manage. Traditional surgical interventions for cases complicated by malperfusion have resulted in significant morbidity and mortality. With increasing availability of thoracic endografts, endov...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2011.04.025

    authors: O'Donnell S,Geotchues A,Beavers F,Akbari C,Lowery R,Elmassry S,Ricotta J

    更新日期:2011-11-01 00:00:00

  • Polytetrafluoroethylene interposition grafts for carotid reconstruction.

    abstract::Polytetrafluoroethylene interposition grafts were used for carotid reconstruction in 26 operations performed in 23 patients during a 7-year period. There were 10 men and 13 women with a mean age of 66 years. The indication for interposition graft placement was recurrent stenosis with inability to perform endarterectom...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1992.39750

    authors: Sise MJ,Ivy ME,Malanche R,Ranbarger KR

    更新日期:1992-10-01 00:00:00

  • Influence of smoking on incidence and prevalence of peripheral arterial disease.

    abstract:OBJECTIVE:Many studies have been published regarding the influence of smoking on the incidence and prevalence of peripheral arterial disease (PAD). A systematic review was performed to establish the magnitude of the effect of smoking on the development of PAD, and a possible dose-response relationship. METHODS:English...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jvs.2004.08.049

    authors: Willigendael EM,Teijink JA,Bartelink ML,Kuiken BW,Boiten J,Moll FL,Büller HR,Prins MH

    更新日期:2004-12-01 00:00:00

  • New temporary internal introducer shunt for brain perfusion during total endovascular arch replacement with in situ fenestration technique.

    abstract::Complete endovascular arch replacement by in situ fenestration technique requires maintenance of cerebral perfusion during the fenestration procedure by an extracorporeal femoral-carotid bypass. The bypass has the disadvantages of being invasive, requiring a pump, and shunting blood extracorporeally. This report descr...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2012.04.064

    authors: Sonesson B,Resch T,Dias N,Malina M

    更新日期:2012-10-01 00:00:00

  • Metformin stimulates ischemia-induced revascularization through an eNOS dependent pathway in the ischemic hindlimb mice model.

    abstract:OBJECTIVE:As first-line treatment for type 2 diabetes, metformin has gained a strong position. In addition, type 2 diabetics benefit from the fact that metformin is associated with a reduction in cardiovascular events. Nevertheless, there is a dearth of information concerning the functional role of metformin in regulat...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2013.09.061

    authors: Takahashi N,Shibata R,Ouchi N,Sugimoto M,Murohara T,Komori K

    更新日期:2015-02-01 00:00:00

  • The impact of the development of a program to reduce urgent (off-hours) venous duplex ultrasound scan studies.

    abstract:OBJECTIVE:The purpose of this study was to develop a protocol for evaluation of patients suspected of having deep venous thrombosis (DVT) who came to the hospital after normal noninvasive vascular laboratory (NIVL) working hours in an attempt to both retain registered vascular therapists and provide excellent patient c...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2002.125021

    authors: Langan EM 3rd,Coffey CB,Taylor SM,Snyder BA,Sullivan TM,Cull DL,Youkey JR,Gray BH

    更新日期:2002-07-01 00:00:00

  • The cost-effectiveness of endovascular repair versus open surgical repair of abdominal aortic aneurysms: A decision analysis model.

    abstract:PURPOSE:Endovascular repair (EVR) is a less-invasive method for the treatment of abdominal aortic aneurysms (AAAs) as compared with open surgical repair (OSR). The potential benefits of EVR include increased patient acceptance, less resource utilization, and cost savings. This study was designed to determine whether th...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(99)70237-5

    authors: Patel ST,Haser PB,Bush HL Jr,Kent KC

    更新日期:1999-06-01 00:00:00

  • Antiplatelet therapy before, during, and after extremity revascularization.

    abstract::Peripheral arterial disease (PAD) is well recognized as a marker for systemic atherosclerosis. Platelets play an essential role in all stages of the disease, contributing to both thrombosis and the development of atherosclerosis. Medication regimens to optimize outcomes in both patients who are to undergo revasculariz...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jvs.2014.07.006

    authors: Yang JK,Jimenez JC,Jabori S

    更新日期:2014-10-01 00:00:00

  • Improved patency of prosthetic arteriovenous grafts with an acute anastomotic angle and flow diffuser.

    abstract:OBJECTIVE:Conventional end-to-side anastomosis to establish venous outflow for prosthetic arteriovenous grafts often requires operative patch angioplasty within 1 year because of venous stenosis. Rather than conventional venous anastomosis, a modified end-to-side anastomosis at a 15-degree angle with a flow diffuser wa...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2003.187

    authors: Hakaim AG,Nalbandian MN,Heller JK,Chowla AC,Oldenburg WA

    更新日期:2003-05-01 00:00:00

  • Compartment syndrome of the foot associated with a delayed presentation of acute limb ischemia.

    abstract::Compartment syndrome of the leg is a well-recognized complication known to follow urgent revascularization done for acute limb ischemia, but compartment syndrome of the foot has not been reported after the ischemia-reperfusion sequence. Herein we report a case of foot fasciotomy done for compartment syndrome that occu...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2015.01.043

    authors: Barshes NR,Pisimisis G,Kougias P

    更新日期:2016-03-01 00:00:00

  • Arterial infection and staphylococcus aureus bacteremia after transfemoral cannulation for percutaneous carotid angioplasty and stenting.

    abstract::In this report, we present a patient who developed an infected femoral artery after repuncture cannulation for carotid angioplasty and intraluminal stenting. The case was complicated by persistent bacteremia and a delay in diagnosis before it was managed successfully with an autogenous replacement graft and appropriat...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2002.119398

    authors: Culver DA,Chua J,Rehm SJ,Whitlow P,Hertzer NR

    更新日期:2002-03-01 00:00:00