[HSF] Possible infected Freestyle

[psimha]

And so the term VOMIT comes and VOMIT strikes back !!
Prasanna
Mark Levinson wrote:
>
> On May 1, 2007, at 9:24 AM, tdmartin2000 at aol.com wrote:
>
>> Just for discussion sake- has anyone ever heard of a "sterile " 
>> abscess where there are multiple wbc's but no bacteria?
>
> Absolutely.   Foreign body reactions do this...and I suspect that is 
> what this patient has.
> Sterile granulomas form around prosthetic devices.    All dacron 
> grafts have fluid around
> them with white cells, but no bacteria if you aspirate them at the 
> right time after surgery.
> If you get an abd CAT after a AAA, you often see fluid around the 
> graft.    It has breakdown
> products of blood and often inflammatory cells.    Its part of the 
> foreign body reaction
> and the healing process....inflammation is the first phase of healing.
>
> In the absence of clinical sign/symptoms of infection or positive 
> cultures, this
> patient can just wait and be followed.
>
> Mark
>
>>
>> Tom Martin
>> U of Florida
>> Gainesville
>>
>> -----Original Message-----
>> From: Hgrmd at aol.com
>> To: OpenHeart-L at lists.hsforum.com
>> Sent: Tue, 1 May 2007 8:11 AM
>> Subject: Re: [HSF] Possible infected Freestyle
>>
>>
>> Ani,
>>   You are even more binary and concrete than yours truly!!   Though 
>> I'm the
>> first to profess that I'm not an aortic expert, I have seen and  read of
>> instances where conservative therapy has worked well for mediastinal  
>> infections
>> in
>> the presence of aortic grafts.  Coselli and others have  written for 
>> years
>> about treating some of these cases with omentum and life long  
>> antibiotics. As
>> long as the patient is closely watched, the risk of waiting is  not 
>> that great.
>>
>> Also, exchanging a Free Style for a homograft in an 80 yo  by a new 
>> surgeon
>> carries a hell of a lot of risk no matter how you slice  it.
>> Hal
>>
>>
>>
>> ************************************** See what's free at 
>> http://www.aol.com.
>> _______________________________________________
>> OpenHeart-L mailing list
>>
>> Send postings to:
>>  OpenHeart-L at lists.hsforum.com
>>
>> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>> http://mmp.cjp.com/mailman/listinfo/openheart-l
>>
>> All messages transmitted by the OpenHeart-L are subject to the 
>> policies and
>> disclaimers posted at:
>> http://www.hsforum.com/listdisclaim
>> -----------------------------------------
>> ________________________________________________________________________
>> AOL now offers free email to everyone.  Find out more about what's 
>> free from AOL at AOL.com.
>> _______________________________________________
>> OpenHeart-L mailing list
>>
>> Send postings to:
>>  OpenHeart-L at lists.hsforum.com
>>
>> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>> http://mmp.cjp.com/mailman/listinfo/openheart-l
>>
>> All messages transmitted by the OpenHeart-L are subject to the 
>> policies and
>> disclaimers posted at:
>> http://www.hsforum.com/listdisclaim
>> -----------------------------------------
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
> OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the 
> policies anddisclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>
>