Abstract

A 72 year old male presented with a six week history of two purulent wounds on the medial aspect of his right transfemoral amputation stump (performed in 2015), and a chronic sinus distally. A computed tomography scan showed a kinked right superficial femoral artery (arrow) with an uncovered stent and Gore Viabahn endoprosthesis (WL Gore & Associates, Flagstaff, AZ, USA) inserted in 2015 for chronic limb threatening ischaemia and dissection during angioplasty. Despite initial conservative antibiotic management, the wounds deteriorated so the endoprostheses were explanted. Staphylococcus aureus was cultured and a two week course of intravenous flucloxacillin was given.Image 1

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