Post-operative mediastinitis, pleuritis and pericarditis due to Mycoplasma hominis and Ureaplasma urealyticum with a fatal outcome.
Post-sternotomy mediastinitis, although infrequent, is a potentially life-threatening complication of cardiac surgery. We report an unusual case of Mycoplasma hominis and Ureaplasma urealyticum post-surgical mediastinitis with persistent pleural and pericardial effusion. Clinical manifestations and response to therapy are described, and the difficulties of establishing the diagnosis are discussed.
García-de-la-Fuente
Celia
C
Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Miñambres
Eduardo
E
Intensive Care Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Ugalde
Estibaliz
E
Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Sáez
Ana
A
Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Martinez-Martinez
Luis
L
Department of Molecular Biology, University of Cantabria, Spain.|Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Fariñas
M Carmen
MC
Infectious Diseases Unit, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000188:drug therapy / Q000382:microbiology*; D009175:Mycoplasma Infections / Q000150:complications / Q000382:microbiology; D019535:Mycoplasma hominis / Q000302:isolation & purification; D010493:Pericarditis / Q000188:drug therapy / Q000382:microbiology*; D010998:Pleurisy / Q000188:drug therapy / Q000382:microbiology*; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology; D016869:Ureaplasma Infections / Q000150:complications / Q000382:microbiology; D016990:Ureaplasma urealyticum / Q000302:isolation & purification
D000900:Anti-Bacterial Agents