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Mesh-repaired complete sternal cleft complicated by multi-resistant bacterial infection

Pim B Olthof1, Derk A Colenbrander1, Martijn Van Der Kuip2

  • 1Emma Children's Hospital, Academic Medical Center Meibergdreef 9, 1105 AZ Amsterdam, Netherlands.

APSP Journal of Case Reports
|November 7, 2014
PubMed

Insights

A rare sternal cleft in a patient became infected with multi-resistant Pseudomonas aeruginosa after mesh repair. The infected mesh patch was surgically removed to manage the complication.

Area of Science:

  • Congenital anomalies
  • Surgical complications
  • Infectious diseases

Background:

  • Sternal cleft is a rare congenital anomaly, presenting either in isolation or with other developmental abnormalities.
  • Surgical repair of sternal clefts can involve various techniques, including the use of synthetic mesh materials.

Observation:

  • A patient with a complete sternal cleft, repaired with mesh, developed a post-operative infection.
  • The causative agent identified was a multi-resistant strain of Pseudomonas aeruginosa.

Findings:

  • The mesh repair of the complete sternal cleft was complicated by a severe infection.
  • Surgical removal of the infected mesh patch was necessary to address the Pseudomonas aeruginosa infection.

Implications:

  • This case highlights the potential for serious infectious complications following mesh repair of sternal clefts.
  • Management of such infections may require aggressive surgical intervention, including patch explantation.
  • Further research into optimal materials and techniques for sternal cleft repair is warranted to minimize infection risk.
Keywords:
InfectionMeshSternal cleft

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