title: Acinetobacter baumannii mediastinitis after cardiopulmonary bypass: case report and literature review.
abstract: BACKGROUND
  Mediastinitis resulting from surgical site infection may occur in 1% of patients undergoing median sternotomy.
  
  
  METHODS
  Case report and review of the pertinent English-language literature.
  
  
  RESULTS
  We report a case of mediastinitis caused by Acinetobacter baumannii, in a patient with multiple comorbidities who underwent cardiopulmonary bypass. Successful treatment consisted of surgical debridement, reconstruction, and ampicillin-sulbactam.
  
  
  CONCLUSIONS
  Acinetobacter baumannii should be recognized as a potential causative agent of severe postoperative mediastinitis.
authors.affiliation: 2nd Propedeutic Department of Surgery, Athens University, Laikon Hospital, Athens, Greece.
authors.forename: Elias
authors.initials: E
authors.lastname: Lachanas
authors.forename: Periklis
authors.initials: P
authors.lastname: Tomos
authors.forename: Nicolaos
authors.initials: N
authors.lastname: Sfyras
authors.forename: Spiros
authors.initials: S
authors.lastname: Miyakis
authors.forename: Alkiviadis
authors.initials: A
authors.lastname: Kostakis
mesh_terms: D000151:Acinetobacter Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D040981:Acinetobacter baumannii; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D003428:Cross Infection / Q000382:microbiology; D003646:Debridement; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D008875:Middle Aged; D013407:Sulbactam / Q000627:therapeutic use; D013530:Surgical Wound Infection / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; C035444:sultamicillin; D000667:Ampicillin; D013407:Sulbactam