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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Main Authors: Austin Hingtgen, Rishav Aggarwal, Shreya Avilala, Azmath Mohammed, Rosemary Kelly
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250922002669
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author Austin Hingtgen
Rishav Aggarwal
Shreya Avilala
Azmath Mohammed
Rosemary Kelly
author_facet Austin Hingtgen
Rishav Aggarwal
Shreya Avilala
Azmath Mohammed
Rosemary Kelly
author_sort Austin Hingtgen
collection DOAJ
description 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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spelling doaj.art-43f27a5edecc418bb6d395f426d33b802022-12-22T03:52:00ZengElsevierIDCases2214-25092022-01-0130e01638Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case reportAustin Hingtgen0Rishav Aggarwal1Shreya Avilala2Azmath Mohammed3Rosemary Kelly4University of Minnesota Medical School, 420 Delaware St. SE, Minneapolis, MN 55455, USA; Correspondence to: 420 Delaware St. SE, MMC 207 Minneapolis, MN 55455, USA.Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School, 420 Delaware St. SE, MMC 207, Minneapolis, MN 55455, USAUniversity of Minnesota Medical School, 420 Delaware St. SE, Minneapolis, MN 55455, USADivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School, 420 Delaware St. SE, MMC 207, Minneapolis, MN 55455, USADivision of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School, 420 Delaware St. SE, MMC 207, Minneapolis, MN 55455, USASternal 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.http://www.sciencedirect.com/science/article/pii/S2214250922002669AspergillusOsteomyelitisSternalCABGCardiac
spellingShingle Austin Hingtgen
Rishav Aggarwal
Shreya Avilala
Azmath Mohammed
Rosemary Kelly
Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case report
IDCases
Aspergillus
Osteomyelitis
Sternal
CABG
Cardiac
title Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case report
title_full Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case report
title_fullStr Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case report
title_full_unstemmed Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case report
title_short Sternal osteomyelitis caused by Aspergillus fumigatus years after coronary artery bypass grafting: A case report
title_sort sternal osteomyelitis caused by aspergillus fumigatus years after coronary artery bypass grafting a case report
topic Aspergillus
Osteomyelitis
Sternal
CABG
Cardiac
url http://www.sciencedirect.com/science/article/pii/S2214250922002669
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