Acinetobacter mediastinitis in a heart transplant patient

被引：9

作者：

George, Robert S.

Birks, Emma J.

Haj-Yahia, Saleem

Bowles, Christopher T.

Hall, Anne

Khaghani, Asghar

Petrou, Mario

机构：

[1] Royal Brompton & Harefield NHS Trust, Dept Artificial Heart & Transplant, London SW3 6NP, England

[2] Royal Brompton & Harefield NHS Trust, Dept Cardiothorac Surg & Transplant, London SW3 6NP, England

[3] Royal Brompton & Harefield NHS Trust, Dept Microbiol, London SW3 6NP, England

来源：

ANNALS OF THORACIC SURGERY | 2006年 / 82卷 / 02期

关键词：

D O I：

10.1016/j.athoracsur.2005.11.008

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

We report a 56-year-old who underwent orthotopic heart transplantation following left ventricular assist device bridge to transplantation. His postoperative course was complicated by severe sternal wound infection with Acinetobacter species requiring extensive debridement and reconstruction with a pectoralis major flap. This was followed by a total sternectomy, pectoralis flap debridement, and vacuum-assisted dressing.

引用

收藏

页码：715 / 716

页数：2

相关论文

共 8 条

[1]

Mediastinitis in heart and lung transplantation: 15 years experience [J].

Abid, Q ;

Nkere, UU ;

Hasan, A ;

Gould, K ;

Forty, J ;

Corris, P ;

Hilton, CJ ;

Dark, JH .

ANNALS OF THORACIC SURGERY, 2003, 75 (05) :1565-1571

[2]

Multiresistant acinetobacter in the UK: how big a threat? [J].

Coelho, J ;

Woodford, N ;

Turton, J ;

Livermore, DM .

JOURNAL OF HOSPITAL INFECTION, 2004, 58 (03) :167-169

[3]

Postoperative mediastinitis: Classification and management [J].

ElOakley, RM ;

Wright, JE .

ANNALS OF THORACIC SURGERY, 1996, 61 (03) :1030-1036

[4]

Simplified treatment of postoperative mediastinitis [J].

Merrill, WH ;

Akhter, SA ;

Wolf, RK ;

Schneeberger, EW ;

Flege, JB .

ANNALS OF THORACIC SURGERY, 2004, 78 (02) :608-612

[5]

Clinical outcome after poststernotomy mediastinitis:: Vacuum-assisted closure versus conventional treatment [J].

Sjögren, J ;

Gustafsson, R ;

Nilsson, J ;

Malmsjö, M ;

Ingemansson, R .

ANNALS OF THORACIC SURGERY, 2005, 79 (06) :2049-2055

[6]

Comparison of Acinetobacter baumannii isolates from United Kingdom hospitals with predominant northern European genotypes by amplified-fragment length polymorphism analysis [J].

Spence, RP ;

van der Reijden, TJK ;

Dijkshoorn, L ;

Towner, KJ .

JOURNAL OF CLINICAL MICROBIOLOGY, 2004, 42 (02) :832-834

[7]

ACINETOBACTER MEDIASTINITIS AND PNEUMONIA IN A THOROTRASTOMA PATIENT - THE OROPHARYNGEAL FLORA AS SOURCE OF INFECTION [J].

STOUTENBEEK, CP ;

VANSAENE, HKF ;

MIRANDA, DR ;

VANDERWAAIJ, D .

INTENSIVE CARE MEDICINE, 1983, 9 (03) :139-141

[8]

Detection and typing of integrons in epidemic strains of Acinetobacter baumannii found in the United Kingdom [J].

Turton, JF ;

Kaufmann, ME ;

Glover, J ;

Coelho, JM ;

Warner, M ;

Pike, R ;

Pitt, TL .

JOURNAL OF CLINICAL MICROBIOLOGY, 2005, 43 (07) :3074-3082