Tracheocarotid artery fistula infected with methicillin-resistant Staphylococcus aureus

Massive life-threatening haemorrhage from a fistula between the trachea and a major blood vessel of the neck is a rare complication of the tracheostomy procedure, well-recognized by anaesthetists and otolaryngologists. Although the lesion is likely to be encountered at autopsy, it is not described i...

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Bibliographic Details
Published in:Journal of laryngology and otology 1999-07, Vol.113 (7), p.689-691
Main Author: TUNGEKAR, M. F
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carotid Artery Diseases - complications
Carotid Artery Diseases - microbiology
Fatal Outcome
Female
Fistula - complications
Fistula - microbiology
Hemorrhage - etiology
Humans
Medical sciences
Methicillin Resistance
Middle Aged
Non tumoral diseases
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Pneumology
Poliomyelitis - complications
Quadriplegia - complications
Respiratory system : syndromes and miscellaneous diseases
Staphylococcal Infections - complications
Tracheal Diseases - complications
Tracheal Diseases - microbiology
Tracheostomy
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Description
Summary:Massive life-threatening haemorrhage from a fistula between the trachea and a major blood vessel of the neck is a rare complication of the tracheostomy procedure, well-recognized by anaesthetists and otolaryngologists. Although the lesion is likely to be encountered at autopsy, it is not described in histopathological literature. The possible causes are discussed together with the macroscopic and microscopic appearances of the lesion. Suitable procedures for its identification and for obtaining appropriate histopathological blocks are suggested. Presence of methicillin-resistant Staphylococcus aureus (MRSA) has not been documented before and might have contributed to the genesis of the fistula in this case.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100144871