Conservative treatment of a paracardial abscess following post-infarct patch grafting.
A patient with previous patch grafts at the site of a ventricular aneurysm and over an ischaemic septal defect presented with an oval hypodense mediastinal mass consistent with a mediastinal abscess with blood cultures positive for Staphylococcus aureus. Surgical re-operation in this region was considered to be too risky and conservative treatment was pursued. Antibiotics were continued for a total of nearly 5 months of treatment. A computed tomographic scan prior to discharge indicated that the abscess was completely resolved.
Nikol
S
S
Medical Clinic I, Ludwig-Maximilians University, Klinikum Grosshadern, Munich, Germany.
Huehns
T Y
TY
Pilz
G
G
von Scheidt
W
W
D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D000368:Aged; D000900:Anti-Bacterial Agents; D018421:Cardiomyoplasty / Q000009:adverse effects*; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D007262:Infusions, Intravenous; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents