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Article ; Online: Intracardiac abscess with cutaneous fistula secondary to ventricular septal defect repair simulating sternal wound infection.

Rafael, Aldo Elmer / Keshavamurthy, Suresh / Sepulveda, Edgardo / Miranda, Cyndee Cruz / Okamoto, Toshihiro / Pettersson, Gosta Bengt

Texas Heart Institute journal

2014  Volume 41, Issue 3, Page(s) 324–326

Abstract: Cutaneous fistula as a clinical presentation of intracardiac abscess of the right side is such an unusual occurrence that it has not until now been reported in the English-language medical literature. We present a rare case of right-sided infective ... ...

Abstract Cutaneous fistula as a clinical presentation of intracardiac abscess of the right side is such an unusual occurrence that it has not until now been reported in the English-language medical literature. We present a rare case of right-sided infective endocarditis caused by Achromobacter xylosoxidans in which recurrent infection presented as sternal wound discharge. The infection was found to have an intracardiac origin and was successfully managed by radical débridement on cardiopulmonary bypass.
MeSH term(s) Abscess/diagnosis ; Abscess/microbiology ; Achromobacter denitrificans/isolation & purification ; Anti-Bacterial Agents/therapeutic use ; Cardiac Surgical Procedures/adverse effects ; Cardiopulmonary Bypass ; Cutaneous Fistula/diagnosis ; Cutaneous Fistula/microbiology ; Cutaneous Fistula/surgery ; Debridement ; Diagnosis, Differential ; Endocarditis, Bacterial/diagnosis ; Endocarditis, Bacterial/microbiology ; Female ; Gram-Negative Bacterial Infections/diagnosis ; Gram-Negative Bacterial Infections/microbiology ; Gram-Negative Bacterial Infections/surgery ; Heart Septal Defects, Ventricular/surgery ; Humans ; Middle Aged ; Predictive Value of Tests ; Recurrence ; Reoperation ; Surgical Wound Infection/diagnosis ; Surgical Wound Infection/microbiology ; Time Factors ; Treatment Outcome ; Wound Healing
Chemical Substances Anti-Bacterial Agents
Language English
Publishing date 2014-06-01
Publishing country United States
Document type Case Reports ; Journal Article
ZDB-ID 604761-0
ISSN 1526-6702 ; 0730-2347
ISSN (online) 1526-6702
ISSN 0730-2347
DOI 10.14503/THIJ-13-3199
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