title: A case of Aspergillus fumigatus mediastinitis after heart surgery in Madani Heart Center, Tabriz, Iran.
abstract: Reported here is the case of a 60-year-old male diabetic patient with mediastinitis caused by Aspergillus fumigatus following an open heart surgery that was successfully treated. A review of literature revealed that A. fumigatus as a cause of mediastinitis has been rarely described. Aspergillus infection should be considered in the differential diagnosis of mediastinitis after cardiac surgery, especially in a clinical setting of unexplained sepsis or nonhealing wound infection despite apparently adequate treatment.
authors.affiliation: Department of Microbiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. gottasloreza@tbzmed.ac.ir
authors.forename: Reza
authors.initials: R
authors.lastname: Ghotaslou
authors.forename: Rezayat
authors.initials: R
authors.lastname: Parvizi
authors.forename: Nasser
authors.initials: N
authors.lastname: Safaei
authors.forename: Saber
authors.initials: S
authors.lastname: Yousefi
mesh_terms: D000391:Air Microbiology; D001228:Aspergillosis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D001232:Aspergillus fumigatus; D015984:Causality; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D017577:Cutaneous Fistula / Q000209:etiology; D003937:Diagnosis, Differential; D006801:Humans; D007121:Immunocompetence; D007492:Iran / Q000453:epidemiology; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology; D035583:Rare Diseases / Q000209:etiology; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D014691:Ventilation