Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case report

Sternal infection after cardiac surgery is an infrequent post-operative complication. Aspergillus sternal osteomyelitis is a rarity. We review the case of a 77-year-old man with invasive aspergillosis of the sternum and left costal cartilage 23 years after undergoing cardiac surgery. The patient pro...

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Detalles Bibliográficos
Autores principales: Hingtgen, Austin, Aggarwal, Rishav, Avilala, Shreya, Mohammed, Azmath, Kelly, Rosemary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9637885/
https://www.ncbi.nlm.nih.gov/pubmed/36353703
http://dx.doi.org/10.1016/j.idcr.2022.e01638
Descripción
Sumario:Sternal infection after cardiac surgery is an infrequent post-operative complication. Aspergillus sternal osteomyelitis is a rarity. We review the case of a 77-year-old man with invasive aspergillosis of the sternum and left costal cartilage 23 years after undergoing cardiac surgery. The patient promptly underwent surgical irrigation and debridement, followed by antifungal therapy. Clinical suspicion of sternal fungal infection should be high in patients with mediastinitis with a history of cardiac surgery. Treatment should be prompt.

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