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Chronic Infections of the Chest Wall

Edward J Bergeron1, Robert A Meguid1, John D Mitchell1

  • 1Division of Cardiothoracic Surgery, Department of Surgery, University of Colorado, Anschutz Medical Campus, 12631 East 17th Avenue, C-310, Aurora, CO 80045, USA.

Thoracic Surgery Clinics
|April 2, 2017
PubMed

Insights

Chronic chest wall infections affect soft tissue, cartilage, and bone, presenting diverse symptoms. Management involves antibiotics or surgical intervention for effective treatment.

Area of Science:

  • Infectious Diseases
  • Surgical Pathology
  • Thoracic Surgery

Background:

  • Chronic chest wall infections involve soft tissue, cartilage, and bone.
  • These infections can manifest as localized pain, masses, superficial infections, or draining sinuses.
  • They are generally non-necrotizing with lower morbidity compared to acute infections.

Purpose of the Study:

  • To summarize the presentation and management of chronic chest wall infections.
  • To differentiate chronic infections from neoplastic processes.
  • To outline treatment strategies for chest wall infections.

Main Methods:

  • Review of clinical presentations of chronic chest wall infections.
  • Analysis of diagnostic challenges, including differentiation from neoplasms.
  • Evaluation of management options, including antimicrobial therapy and surgical resection.

Main Results:

  • Chronic chest wall infections present with varied clinical signs, sometimes mimicking tumors.
  • Non-necrotizing nature typically leads to lower morbidity.
  • Successful management requires tailored approaches based on infection extent.

Conclusions:

  • Chronic chest wall infections require a comprehensive diagnostic approach.
  • Treatment strategies are diverse, ranging from conservative antimicrobial use to aggressive surgical debridement and reconstruction.
  • Understanding the varied presentations is key to effective patient outcomes.
Keywords:
Chest wallGranulomaInfectionOsteomyelitisSternoclavicular jointTuberculosis

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