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February 1984

Aortoiliac Graft Infection and Pancreatic Abscess due to Candida albicans

Author Affiliations

Brighton, Mass

Arch Surg. 1984;119(2):245. doi:10.1001/archsurg.1984.01390140099026

To the Editor.—Candida infections have become a well-recognized and frequently fatal complication of the use of prosthetic devices, such as prosthetic heart valves. In spite of this, there are no well-documented reports of culture-proven prosthetic vascular graft infections caused solely by any Candida species, particularly Candida albicans. Likewise, pancreatic abscess due only to C albicans is rare.1 We report a case of prosthetic vascular graft infection caused solely by C albicans. This infection also involved the retroperitoneal area and pancreas, with formation of a pancreatic abscess, also caused by C albicans alone.

Report of a Case.—A 73-year-old previously well man was found to have an asymptomatic abdominal aortic aneurysm. This aneurysm was electively resected, and a Dacron aortoiliac graft was inserted at another hospital. The day after surgery, he required abdominal exploration for bleeding secondary to an anastomotic leak at the graft site and repair of