{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:08:47Z","timestamp":1768320527800,"version":"3.49.0"},"reference-count":11,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T00:00:00Z","timestamp":1604275200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infectious Disease Reports"],"abstract":"<jats:p>Endovascular prostheses are used to treat life-threatening conditions such as ruptured aortic aneurysms. Prosthetic infection cause significant morbidity and mortality, posing important diagnostic and therapeutic challenges. It is particularly difficult to diagnose and, in the era of multidrug resistance (MDR), these type of infections may become even more difficult to treat. Herein, we reported a case of a secondary prosthetic endovascular infection following repeated bacteremia episodes from a urinary source. This case illustrates an MDR Pseudomonas aeruginosa aortic infection that was difficult to diagnose with no oral antibiotic treatment options.<\/jats:p>","DOI":"10.3390\/idr12030012","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T19:51:31Z","timestamp":1604346691000},"page":"46-50","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Aortic Prosthesis-Associated MDR Pseudomonas Infections as a Diagnostic and Therapeutic Challenge"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4557-5508","authenticated-orcid":false,"given":"Rita","family":"Filipe","sequence":"first","affiliation":[{"name":"Infectious Diseases Department, S\u00e3o Jo\u00e3o University Hospital Center, 4000-319 Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, 4000-319 Porto, Portugal"}]},{"given":"Filipa","family":"Ceia","sequence":"additional","affiliation":[{"name":"Infectious Diseases Department, S\u00e3o Jo\u00e3o University Hospital Center, 4000-319 Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, 4000-319 Porto, Portugal"}]},{"given":"Ana Cl\u00e1udia","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Infectious Diseases Department, S\u00e3o Jo\u00e3o University Hospital Center, 4000-319 Porto, Portugal"}]},{"given":"Margarida","family":"Tavares","sequence":"additional","affiliation":[{"name":"Infectious Diseases Department, S\u00e3o Jo\u00e3o University Hospital Center, 4000-319 Porto, Portugal"},{"name":"EPI Unit, Public Health Institute of Porto University, 4000-319 Porto, Portugal"}]},{"given":"Jos\u00e9","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, S\u00e3o Jo\u00e3o University Hospital Center, 4000-319 Porto, Portugal"}]},{"given":"Ant\u00f3nio","family":"Sarmento","sequence":"additional","affiliation":[{"name":"Infectious Diseases Department, S\u00e3o Jo\u00e3o University Hospital Center, 4000-319 Porto, Portugal"},{"name":"Faculty of Medicine, University of Porto, 4000-319 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,2]]},"reference":[{"key":"ref_1","first-page":"125","article-title":"Management of aortic graft infections\u2014The present strategy and future perspectives","volume":"117","author":"Treska","year":"2016","journal-title":"Bratisl Lek Listy."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.jvs.2007.10.030","article-title":"The incidence and factors associated with graft infection after aortic aneurysm repair","volume":"47","author":"Vogel","year":"2008","journal-title":"J. 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Dis."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2334-14-215","article-title":"Intra-abdominal aortic graft infection: Prognostic factors associated with in-hospital mortality","volume":"14","author":"Garot","year":"2014","journal-title":"BMC Infect. Dis."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jvs.2015.08.113","article-title":"Treatment and outcomes of aortic endograft infection","volume":"63","author":"Smeds","year":"2014","journal-title":"J. Vasc. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1067\/mva.2000.109471","article-title":"Long-term outcome after treatment of aortic graft infection with staged extra- anatomic bypass grafting and aortic graft removal","volume":"286","author":"Seeger","year":"2000","journal-title":"J. Vasc. 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