Diagnosis and treatment of Aspergillus flavus sternal wound infections after cardiac surgery

被引:41
作者
Vandecasteele, SJ
Boelaert, JR
Verrelst, P
Graulus, E
Gordts, BZ
机构
[1] Univ Hosp Leuven, Dept Internal Med Infect Dis, B-3000 Louvain, Belgium
[2] AZ St Jan Gen Hosp, Dept Internal Med, Brugge, Belgium
[3] AZ St Jan Gen Hosp, Dept Hosp Hyg & Microbiol, Brugge, Belgium
[4] AZ St Jan Gen Hosp, Dept Cardiac Surg, Brugge, Belgium
关键词
D O I
10.1086/342699
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We report the clinical data for 9 patients affected during an outbreak of Aspergillus flavus sternal wound infections after cardiac surgery. In 7 patients, the infection had a locally invasive character, with 3 of these patients having multiple relapses; 2 patients had fulminant mediastinitis and died. Most patients received combined surgical and medical treatment.
引用
收藏
页码:887 / 890
页数:4
相关论文
共 11 条
  • [1] ATTAH CA, 1979, NEW YORK STATE J MED, V79, P1420
  • [2] STERNAL OSTEOMYELITIS DUE TO ASPERGILLUS-FUMIGATUS AFTER CARDIAC-SURGERY
    BARZAGHI, N
    EMMI, V
    MENCHERINI, S
    MINZIONI, G
    MARONE, P
    MINOLI, L
    [J]. CHEST, 1994, 105 (04) : 1275 - 1277
  • [3] Invasive aspergillosis outbreak in Spain
    Bosch, X
    [J]. LANCET, 1999, 353 (9147) : 131 - 131
  • [4] Brunet F, 1996, J THORAC CARDIOV SUR, V111, P1200
  • [5] In-vitro susceptibility of Aspergillus spp. isolates to amphotericin B and itraconazole
    Dannaoui, E
    Persat, F
    Monier, MF
    Borel, E
    Piens, MA
    Picot, S
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1999, 44 (04) : 553 - 555
  • [6] DENNING DW, 1990, REV INFECT DIS, V12, P1147
  • [7] GORDTS B, 2000, INFECT CONT HOSP EP, V21, P135
  • [8] ASPERGILLUS-FUMIGATUS STERNAL WOUND INFECTIONS IN PATIENTS UNDERGOING OPEN-HEART-SURGERY
    RICHET, HM
    MCNEIL, MM
    DAVIS, BJ
    DUNCAN, E
    STRICKLER, J
    NUNLEY, D
    JARVIS, WR
    TABLAN, OC
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1992, 135 (01) : 48 - 58
  • [9] SYMOENS F, 2000, MED MYCOL S1, V38, pP116
  • [10] ASPERGILLUS OSTEOCHONDRITIS AFTER MEDIAN STERNOTOMY - COMBINED OPERATIVE TREATMENT AND DRUG-THERAPY WITH AMPHOTERICIN-B
    WELLENS, F
    POTVLIEGE, C
    DEUVAERT, FE
    PRIMO, G
    [J]. THORACIC AND CARDIOVASCULAR SURGEON, 1982, 30 (05) : 322 - 324