Sternal tuberculosis after open heart surgery
Pablo Rivas1, Miguel Górgolas, Beatriz Gimena
1Division of Infectious Diseases, Fundación Jiménez Díaz, Madrid, Spain. pablorivasg@hotmail.com
Abstract:
We present a 68-y-old female who had undergone aortocoronary bypass and developed Staphylococcus aureus sternal osteomyelitis. Despite prolonged therapy with different antibiotics and several local debridements and drainage, the wound remained open and suppurative. Only after sternectomy and wide excision of infected costal cartilage was the diagnosis of sternal tuberculosis made, 24 months later. This case illustrates the necessity of a high degree of suspicion to diagnose this very rare entity which coexists with more common causes of sternal osteomyelitis.
Related Concept Videos
Pneumothorax-II
Clinical Manifestations:
Mitral Stenosis III: Medical Management
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Mitral Stenosis IV: Nursing Management
Endocarditis III: Medical Management
