Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery
Skin commensals, especially gram-positive cocci, are the usual microbial organisms that cause post-operative sternal wound infections. Rarely, environmental bacteria such as Gordonia spp. have been implicated as etiological agents in post-cardiac procedure surgical site infections. We report a case...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250922001767 |
| _version_ | 1828144319346769920 |
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| author | Somto Nwaedozie Javad Najjar Mojarrab Prathima Gopinath Thomas Fritsche Rana M. Nasser |
| author_facet | Somto Nwaedozie Javad Najjar Mojarrab Prathima Gopinath Thomas Fritsche Rana M. Nasser |
| author_sort | Somto Nwaedozie |
| collection | DOAJ |
| description | Skin commensals, especially gram-positive cocci, are the usual microbial organisms that cause post-operative sternal wound infections. Rarely, environmental bacteria such as Gordonia spp. have been implicated as etiological agents in post-cardiac procedure surgical site infections. We report a case of a patient who presented with post-coronary artery bypass sternal osteomyelitis caused by this uncommon pathogen, and review relevant medical literature to identify commonalities in presentation, diagnosis and management. Repeat isolation of Gordonia bronchialis in the setting of post-procedure wound infection should raise suspicion for a real pathogenicity. Definitive identification requires a broad range of bacterial PCR DNA amplification and sequencing followed by susceptibility testing as treatment may require a prolonged course of antibiotics. |
| first_indexed | 2024-04-11T20:12:51Z |
| format | Article |
| id | doaj.art-aeb40f1e4f064e39a8bdae43e74c76e0 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-11T20:12:51Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-aeb40f1e4f064e39a8bdae43e74c76e02022-12-22T04:05:03ZengElsevierIDCases2214-25092022-01-0129e01548Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgerySomto Nwaedozie0Javad Najjar Mojarrab1Prathima Gopinath2Thomas Fritsche3Rana M. Nasser4Department of Internal Medicine, Marshfield Clinic Health System – Marshfield, Marshfield, WI 54449, USA; Correspondence to: Department of Internal Medicine, Marshfield Clinic Health System – Marshfield, 1,000 North Oak Avenue 3K2, Marshfield, WI 54449, USA.Department of Internal Medicine, Marshfield Clinic Health System – Marshfield, Marshfield, WI 54449, USADepartment of Internal Medicine, Marshfield Clinic Health System – Marshfield, Marshfield, WI 54449, USADepartment of Pathology, Marshfield Clinic Health System – Marshfield, Marshfield, WI 54449, USADepartment of Infectious Disease, Marshfield Clinic Health System – Marshfield, Marshfield, WI 54449, USASkin commensals, especially gram-positive cocci, are the usual microbial organisms that cause post-operative sternal wound infections. Rarely, environmental bacteria such as Gordonia spp. have been implicated as etiological agents in post-cardiac procedure surgical site infections. We report a case of a patient who presented with post-coronary artery bypass sternal osteomyelitis caused by this uncommon pathogen, and review relevant medical literature to identify commonalities in presentation, diagnosis and management. Repeat isolation of Gordonia bronchialis in the setting of post-procedure wound infection should raise suspicion for a real pathogenicity. Definitive identification requires a broad range of bacterial PCR DNA amplification and sequencing followed by susceptibility testing as treatment may require a prolonged course of antibiotics.http://www.sciencedirect.com/science/article/pii/S2214250922001767Surgical site infectionSternal osteomyelitisGordonia bronchialis |
| spellingShingle | Somto Nwaedozie Javad Najjar Mojarrab Prathima Gopinath Thomas Fritsche Rana M. Nasser Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery IDCases Surgical site infection Sternal osteomyelitis Gordonia bronchialis |
| title | Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery |
| title_full | Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery |
| title_fullStr | Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery |
| title_full_unstemmed | Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery |
| title_short | Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery |
| title_sort | sternal osteomyelitis caused by gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery |
| topic | Surgical site infection Sternal osteomyelitis Gordonia bronchialis |
| url | http://www.sciencedirect.com/science/article/pii/S2214250922001767 |
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