Mediastinal tissue friability—An unreported complication from Mycobacterium chimaera infection post‐cardiac surgery
| Autor: | Huzaifa Ahmad, Caitlin J. Cain, Ezequiel J. Molina |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic dissection medicine.medical_specialty Epidural abscess business.industry Septic shock 030204 cardiovascular system & hematology medicine.disease Mediastinitis Surgery Cardiac surgery law.invention 03 medical and health sciences 0302 clinical medicine 030228 respiratory system law medicine Cardiopulmonary bypass Vertebral osteomyelitis Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Journal of Cardiac Surgery. 35:3191-3194 |
| ISSN: | 1540-8191 0886-0440 |
| Popis: | Mycobacterium chimaera can cause disseminated infection following cardiac surgery with cardiopulmonary bypass and contaminated heater-cooler devices. We discuss a 41-year-old man with a disseminated M. chimaera infection following surgery for a type A aortic dissection. His presentation included cachexia and dorsalgia with a work-up revealing vertebral osteomyelitis with an epidural abscess, bone marrow, and pulmonary infiltration, and fluid collection around his aortic graft. He received 1 month of antibiotics before the explantation of infected foreign material, mediastinal debridement, and aortic reconstruction. Complications included septic shock, respiratory and renal failure, mediastinitis, and four distal aortic anastomotic dehiscences from friable tissue and persistent infection. |
| Databáze: | OpenAIRE |
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