title: Fulminant mediastinitis due to extended-spectrum beta-lactamase-producing Klebsiella pneumoniae: atypical presentation and spreading following cardiac surgery.
abstract: Mediastinitis due to Klebsiella pneumoniae, related to thoracic wall contamination after cardiac surgery, has rarely been described. We aim to report a case of fulminant mediastinitis due to extended-spectrum beta-lactamase-producing K. pneumoniae, secondary to a disseminated concomitant pulmonary infection. The patient remained pauci-symptomatic until clinical manifestations of sepsis acutely appeared.
authors: Department of Cardiac Surgery, University Hospital, Valladolid, Spain. horavale@hotmail.com
authors: Horacio
authors: H
authors: Valenzuela
authors: Yolanda
authors: Y
authors: Carrascal
authors: Laura
authors: L
authors: Maroto
authors: Nuria
authors: N
authors: Arce
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003428:Cross Infection / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D007711:Klebsiella pneumoniae / Q000201:enzymology*; D008480:Mediastinitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D008875:Middle Aged; D012141:Respiratory Tract Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D018805:Sepsis / Q000382:microbiology; D056346:Sternotomy / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D017211:Treatment Failure; D018440:beta-Lactam Resistance; D001618:beta-Lactamases / Q000378:metabolism*
chemical_list: D001618:beta-Lactamases