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
Summary
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.
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