Prostatic abscess associated with Bacteroides fragilis mediastinitis after heart surgery.
Anaerobic mediastinitis after cardiac surgery is a rare and poorly understood condition. We observed a patient with diabetes and myelodysplastic syndrome who developed Bacteroides fragilis mediastinitis in conjunction with a prostatic abscess, several days after coronary artery bypass surgery; this hitherto unpublished observation suggests that suppurative infection of the genito-urinary tract may constitute a portal of entry for postoperative anaerobic mediastinitis in predisposed patients.
Radermecker
Désirée
D
Department of Intensive Care, Cliniques Universitaires de Mont-Godinne, Louvain School of Medicine, Belgium.
Michaux
Isabelle
I
Louagie
Yves
Y
Dive
Alain
A
D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001441:Bacteroides fragilis / Q000302:isolation & purification*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003646:Debridement; D004322:Drainage; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000382:microbiology* / Q000628:therapy; D011469:Prostatic Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed; D020728:Transurethral Resection of Prostate; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents