Document Detail

Acute purulent mediastinitis and sternal osteomyelitis after closed chest cardiopulmonary resuscitation: a case report and review of the literature.
MedLine Citation:
PMID:  3046524     Owner:  NLM     Status:  MEDLINE    
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.
G A Mensah; J P Gold; T Schreiber; O W Isom
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  46     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-09-29     Completed Date:  1988-09-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  353-5     Citation Subset:  AIM; IM    
Department of Medicine, New York Hospital, New York 10021.
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MeSH Terms
Acute Disease
Combined Modality Therapy
Fractures, Closed / etiology*,  surgery
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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