Mycobacterium tuberculosis sternal wound infection after open heart surgery: a case report and review of the literature.
Tuberculous osteomyelitis of sternum after open heart surgery is a rare disease entity. We report a case of wound infection with osteomyelitis caused by Mycobacterium tuberculosis in a patient with diabetic nephropathy, requiring peritoneal dialysis after coronary artery bypass grafting, who was successfully treated with antituberculous agents and surgical debridement. In addition, we provide a literature review on reported cases of tuberculous sternal osteomyelitis and mediastinitis after open heart surgery, and discuss about the risk factors, clinical features, and treatment of this infection.
Wang
Teresa K
TK
Department of Microbiology, Research Centre of Infection and Immunology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Wong
Chi-Fong
CF
Au
Wing-Kuk
WK
Cheng
Vincent C
VC
Wong
Samson S
SS
D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000472:pathogenicity*; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013249:Sternum / Q000382:microbiology*; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology*
D000904:Antibiotics, Antitubercular