| Acute purulent mediastinitis and sternal osteomyelitis after closed chest cardiopulmonary resuscitation: a case report and review of the literature. | |
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MedLine Citation:
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PMID: 3046524 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Numerous complications have been associated with cardiopulmonary resuscitation. Acute purulent staphylococcal mediastinitis and sternal osteomyelitis are, however, unusual and do not appear to have been reported previously in association with closed chest resuscitation. Sternal fracture during chest compressions and subsequent hematogenous seeding of the resultant retrosternal hematoma with Staphylococcus aureus led to purulent mediastinitis and sternal osteomyelitis in our patient. The source of bacteremia may have been a resolving phlebitis at an intravenous catheter insertion site. Early diagnosis, aggressive surgical debridement, and antibiotic therapy were key to a successful outcome. |
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Authors:
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G A Mensah; J P Gold; T Schreiber; O W Isom |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 46 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1988 Sep |
Date Detail:
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Created Date: 1988-09-29 Completed Date: 1988-09-29 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 353-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, New York Hospital, New York 10021. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Combined Modality Therapy Fractures, Closed / etiology*, surgery Humans Male Mediastinitis / etiology*, surgery Middle Aged Osteomyelitis / etiology* Resuscitation / adverse effects* Staphylococcal Infections* Sternum / injuries* Suppuration / etiology, microbiology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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