Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature

Bacillus Calmette-Guérin (BCG), a live attenuated form of Mycobacterium bovis, is utilized in non–muscle-invasive bladder cancer therapy. Disseminated BCG infection causing vascular graft infection is extremely rare. In this report, we review the literature and describe a rare case of aortic endogra...

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Main Authors: Prateek Sharma, Kristin Schafer, Richard J. Hankins, Jonathan R. Thompson, Jason R. Cook
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Annals of Vascular Surgery - Brief Reports and Innovations
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772687825000170
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author Prateek Sharma
Kristin Schafer
Richard J. Hankins
Jonathan R. Thompson
Jason R. Cook
author_facet Prateek Sharma
Kristin Schafer
Richard J. Hankins
Jonathan R. Thompson
Jason R. Cook
author_sort Prateek Sharma
collection DOAJ
description Bacillus Calmette-Guérin (BCG), a live attenuated form of Mycobacterium bovis, is utilized in non–muscle-invasive bladder cancer therapy. Disseminated BCG infection causing vascular graft infection is extremely rare. In this report, we review the literature and describe a rare case of aortic endograft infection in a 72- year-old man, who underwent intravesical BCG treatment four years ago that was diagnosed utilizing next generation sequencing technique via the Karius test™ enabling earlier diagnosis and treatment start compared to conventional microbiological diagnostic tools. The morbidity and mortality from aortic graft infections remain high, therefore prompt diagnosis and multidisciplinary approach is paramount.
format Article
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institution OA Journals
issn 2772-6878
language English
publishDate 2025-06-01
publisher Elsevier
record_format Article
series Annals of Vascular Surgery - Brief Reports and Innovations
spelling doaj-art-b5bd707ba76d45c48501eba924eec8922025-08-20T02:06:19ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782025-06-015210037610.1016/j.avsurg.2025.100376Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literaturePrateek Sharma0Kristin Schafer1Richard J. Hankins2Jonathan R. Thompson3Jason R. Cook4Division of Vascular Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-2500, USADivision of Vascular Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-2500, USADivision of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USADivision of Vascular Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-2500, USADivision of Vascular Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-2500, USA; Corresponding author.Bacillus Calmette-Guérin (BCG), a live attenuated form of Mycobacterium bovis, is utilized in non–muscle-invasive bladder cancer therapy. Disseminated BCG infection causing vascular graft infection is extremely rare. In this report, we review the literature and describe a rare case of aortic endograft infection in a 72- year-old man, who underwent intravesical BCG treatment four years ago that was diagnosed utilizing next generation sequencing technique via the Karius test™ enabling earlier diagnosis and treatment start compared to conventional microbiological diagnostic tools. The morbidity and mortality from aortic graft infections remain high, therefore prompt diagnosis and multidisciplinary approach is paramount.http://www.sciencedirect.com/science/article/pii/S2772687825000170Aortic endograft infectionMycobacterium bovisIntravesical BCGKarius™
spellingShingle Prateek Sharma
Kristin Schafer
Richard J. Hankins
Jonathan R. Thompson
Jason R. Cook
Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature
Annals of Vascular Surgery - Brief Reports and Innovations
Aortic endograft infection
Mycobacterium bovis
Intravesical BCG
Karius™
title Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature
title_full Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature
title_fullStr Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature
title_full_unstemmed Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature
title_short Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature
title_sort aortic endograft infection with mycobacterium bovis following intravesical bcg immunotherapy diagnosed via the karius test™ case report and review of literature
topic Aortic endograft infection
Mycobacterium bovis
Intravesical BCG
Karius™
url http://www.sciencedirect.com/science/article/pii/S2772687825000170
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AT kristinschafer aorticendograftinfectionwithmycobacteriumbovisfollowingintravesicalbcgimmunotherapydiagnosedviathekariustestcasereportandreviewofliterature
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AT jonathanrthompson aorticendograftinfectionwithmycobacteriumbovisfollowingintravesicalbcgimmunotherapydiagnosedviathekariustestcasereportandreviewofliterature
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