Sternectomy for Candida albicans sternal osteomyelitis after left ventricular assist device implantation
| Autor: | Annelies S. Zinkernagel, Juri Sromicki, Mathias Van Hemelrijck, Markus J. Wilhelm, Holger J. Klein, Barbara Hasse, Carlos A. Mestres, Ronny R. Buechel, Michelle Frank, Authorea |
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| Přispěvatelé: | University of Zurich |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Debridement biology business.industry Osteomyelitis medicine.medical_treatment 610 Medicine & health medicine.disease biology.organism_classification Corpus albicans Surgery 10234 Clinic for Infectious Diseases Negative-pressure wound therapy Ventricular assist device medicine Daptomycin Candida albicans business Fluconazole medicine.drug |
| Popis: | Fungal osteomyelitis is uncommon after cardiac surgery. A case of Candida albicans and S. epidermidis osteomyelitis with device infection after implantation of a left ventricular assist device in a male patient is presented. After confirmation with microbiological and radiological examinations, debridement was performed. Surgical specimens grew C. albicans and S. epidermidis. Fluconazole, daptomycin and negative pressure wound therapy failed to achieve healing. Total sternectomy and pectoralis muscle flap reconstruction were performed. There was no recurrent infection for C. albicans on a prolonged antifungal regime. The combination of antifungal therapy and aggressive surgical debridement may be useful to control fungal osteomyelitis. |
| Databáze: | OpenAIRE |
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