RT Journal Article SR Electronic T1 Lawsonella clevelandensis: an emerging cause of vascular graft infection JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e237350 DO 10.1136/bcr-2020-237350 VO 14 IS 2 A1 Rommel Ramesh A1 Mariam Assi A1 Zerelda Esquer Garrigos A1 Muhammad Rizwan Sohail YR 2021 UL http://casereports.bmj.com/content/14/2/e237350.abstract AB Lawsonella clevelandensis, an emerging pathogen, was first described in 2016, and has been implicated in abdominal, breast and spinal abscesses in a limited number of cases. Being a fastidious organism, it is primarily identified with molecular methods. With the incorporation of broad-range PCR testing in clinical diagnostics, L. clevelandensis has been increasingly reported in the literature. We describe a case of a 65-year-old man who presented with bilateral psoas abscesses secondary to aorto-bi-iliac vascular graft infection with L. clevelandensis identified using 16S rRNA/PCR sequencing. The patient underwent surgical resection and replacement of infected graft, followed by 6 weeks of intravenous antibiotic therapy and then chronic suppression with doxycycline and cefadroxil. He was infection-free at last follow-up.