Acinetobacter baumannii mediastinitis after cardiopulmonary bypass: case report and literature review.
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.
Lachanas
Elias
E
2nd Propedeutic Department of Surgery, Athens University, Laikon Hospital, Athens, Greece.
Tomos
Periklis
P
Sfyras
Nicolaos
N
Miyakis
Spiros
S
Kostakis
Alkiviadis
A
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*
D000900:Anti-Bacterial Agents; C035444:sultamicillin; D000667:Ampicillin; D013407:Sulbactam