title: Post-operative mediastinitis, pleuritis and pericarditis due to Mycoplasma hominis and Ureaplasma urealyticum with a fatal outcome.
abstract: 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.
authors.affiliation: Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
authors.forename: Celia
authors.initials: C
authors.lastname: García-de-la-Fuente
authors.affiliation: Intensive Care Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Miñambres
authors.affiliation: Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
authors.forename: Estibaliz
authors.initials: E
authors.lastname: Ugalde
authors.affiliation: Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Sáez
authors.affiliation: Department of Molecular Biology, University of Cantabria, Spain.|Microbiology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Martinez-Martinez
authors.affiliation: Infectious Diseases Unit, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Fariñas
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents