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Angiology
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Fallibility of Intra-Operative Gram Stain in the Diagnosis of Vascular Infection

Russell H. Samson

Division of Vascular Surgery, Montefiore Hospital, Albert Einstein College of Medicine, New York, New York 10467

Sushil K. Gupta

Division of Vascular Surgery, Montefiore Hospital, Albert Einstein College of Medicine, New York, New York 10467

Larry A. Scher

Division of Vascular Surgery, Montefiore Hospital, Albert Einstein College of Medicine, New York, New York 10467

Frank J. Veith

Division of Vascular Surgery, Montefiore Hospital, Albert Einstein College of Medicine, New York, New York 10467

Three cases of arterial-graft infection are presented. In all cases the gram stain obtained at surgery demonstrated white blood cells but no bacteria. Cultures obtained at operation subsequently grew Pseudomonas aeruginosa in two patients and Bacteroides fragilis in one patient. Failure to recognize the fallibility of the gram stain in the diagnosis of vascular infection may result in incorrect management decisions.

Angiology, Vol. 33, No. 10, 680-684 (1982)
DOI: 10.1177/000331978203301007


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