TY - JOUR T1 - <em>Lawsonella clevelandensis</em>: an emerging cause of vascular graft infection JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-237350 VL - 14 IS - 2 SP - e237350 AU - Rommel Ramesh AU - Mariam Assi AU - Zerelda Esquer Garrigos AU - Muhammad Rizwan Sohail Y1 - 2021/02/01 UR - http://casereports.bmj.com/content/14/2/e237350.abstract N2 - 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. ER -