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January 28, 1983

Pasteurella multocida Infection of a Prosthetic Vascular Graft

JAMA. 1983;249(4):514-515. doi:10.1001/jama.1983.03330280060033

THE INCIDENCE of vascular graft infections is reported to range from 0.25% to 6.0%, with Staphylococcus aureus as the most frequently isolated microorganism.1Pasteurella multocida is a nonmotile, gram-negative pleomorphic coccobacillus that has been encountered in a wide variety of infections. It is a common cause of disease in veterinary medicine and also is being reported with increasing frequency as a cause of human infection.2,3 The following report describes what we believe is the first reported case of vascular graft infection with P multocida.

Report of a Case  A 61-year-old man was admitted to the hospital in September 1981, complaining of malaise, fever, chills, and groin pain on the right side. The patient had atherosclerotic peripheral vascular disease and, in 1970, underwent revascularization with an aortobifemoral bypass graft. He was well until July 1981, when he experienced a false aneurysm of the left femoral graft, with total occlusion