Acinetobacter baumannii mediastinitis after cardiopulmonary bypass: case report and literature review.
نویسندگان
چکیده
BACKGROUND Mediastinitis resulting from surgical site infection may occur in 1% of patients undergoing median sternotomy. METHODS Case report and review of the pertinent English-language literature. RESULTS We report a case of mediastinitis caused by Acinetobacter baumannii, in a patient with multiple comorbidities who underwent cardiopulmonary bypass. Successful treatment consisted of surgical debridement, reconstruction, and ampicillin-sulbactam. CONCLUSIONS Acinetobacter baumannii should be recognized as a potential causative agent of severe postoperative mediastinitis.
منابع مشابه
Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully treated by surgical therapy, which included extensive debridement of the mediastinum and removal of th...
متن کاملMediastinitis: Could your case be a candidate for candida?
BACKGROUND Candida mediastinitis is rare, but mortality has been reported as high as 50%. There are no clinical trials evaluating treatment of Candida mediastinitis and there are only a limited number of reports in the literature. CASE REPORT We present two cases of mediastinitis after coronary artery bypass grafting due to Candida albicans. Immunosuppression and long surgical procedures were...
متن کاملSuccessful Management of Refractory Prosthetic Vessel Infection, Prosthetic Valve Endocarditis and Mediastinitis: Report of a Case-Late Timing Caused Repeated Surgery
The patient was diagnosed with anuloaortic ectasia with localized dissection in the right Valsalva sinus. He underwent aortic root replacement with mechanical valve. But, he was re-admitted for mediastinitis. Although his serum (CRP) level was normalized for one month, his body temperature suddenly rose to 40°C. An emergency operation was performed including re-sternotomy, drainage, and irrigat...
متن کاملFirst detection of the blaOXA-23 gene in a multidrug-resistant A. baumannii clinical isolate from Cochabamba, Bolivia.
Dear Editor, Acinetobacter baumannii is an opportunistic pathogen responsible for severe infections and is associated with nosocomial outbreaks worldwide [1,2]. Carbapenems are the agents of choice to treat these infections, but multidrug-resistant isolates are being reported in hospitals worldwide [1]. One of the most important mechanisms of resistance to carbapenems is the production of carba...
متن کاملProlonged and high dosage of tigecycline – successful treatment of spondylodiscitis caused by multidrug-resistant Acinetobacter baumannii: a case report
BACKGROUND The incidence of infectious spondylodiscitis has been increasing over the last few years. This reflects the expanding elderly and immunocompromised populations and the rising implementation of invasive spinal procedures. Infection may be inoculated into the disc space directly during invasive spinal procedures. Osteomyelitis caused by Acinetobacter species is rare and mainly caused b...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Surgical infections
دوره 9 2 شماره
صفحات -
تاریخ انتشار 2008