Document Detail


Sternal osteomyelitis due to Aspergillus fumigatus after cardiac surgery.
MedLine Citation:
PMID:  8162769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sternal osteomyelitis due to Aspergillus fumigatus after cardiac surgery occurred in two nonimmunosuppressed patients. The clinical features of the infection were markedly different in the two cases. In the first patient, sepsis showed a late and insidious onset followed by slow progression. In the second case, fungi were isolated from wound swabs within a few days of surgery and the clinical picture showed acute onset and rapid progression. Only a few cases of sternal osteomyelitis due to Aspergillus have been described previously after cardiac surgery. Aspergillus infection should be considered in the differential diagnosis of mediastinitis after cardiac surgery, especially in a clinical setting of otherwise unexplained sepsis or nonhealing wound despite apparently adequate treatment.
Authors:
N Barzaghi; V Emmi; S Mencherini; G Minzioni; P Marone; L Minoli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  105     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-05-23     Completed Date:  1994-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1275-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, University of Pavia, Policlinico San Matteo, Italy.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aspergillosis / diagnosis,  etiology*
Aspergillus fumigatus*
Cardiac Surgical Procedures / adverse effects*
Female
Humans
Male
Middle Aged
Osteomyelitis / diagnosis,  etiology*
Sternum* / surgery
Surgical Wound Infection / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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