title: Hyperbaric oxygen therapy for chronic refractory osteomyelitis of the sternum.
abstract: This report describes a 32-year-old woman with chronic refractory osteomyelitis of the sternum after multiple surgical procedures including a sternotomy with underlying colonic interposition that was successfully managed with hyperbaric oxygen therapy. The clinical course is reviewed, and the complexities of this diagnosis are then discussed, including a brief review of the mechanisms of management with hyperbaric oxygen therapy.
authors.affiliation: Division of Cardiovascular Diseases, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA. shields.raymond@mayo.edu
authors.forename: Raymond C
authors.initials: RC
authors.lastname: Shields
authors.forename: Francis C
authors.initials: FC
authors.lastname: Nichols
authors.forename: William G
authors.initials: WG
authors.lastname: Buchta
authors.forename: Paul L
authors.initials: PL
authors.lastname: Claus
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods*; D010019:Osteomyelitis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D056346:Sternotomy / Q000009:adverse effects* / Q000706:statistics & numerical data; D013530:Surgical Wound Infection / Q000150:complications* / Q000175:diagnosis; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology