Contained aortic rupture secondary to post-surgery mediastinitis due to Aspergillus fumigatus

Portero, Jaime Nevado; Borrell, Mariano Ruiz; Izquierdo, Lourdes Gómez

doi:10.1093/eurheartj/ehl178

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2008

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“…Although rare, postoperative infections with Aspergillus spp., including endocarditis 6 and sternal wound infections, 7 have been reported. Aspergillus mediastinitis in surgical patients has been described in association with deep sternal wound infection, 4–5,7 heart transplantation, 8 aortitis 4,9 and patch infection after repaired tetralogy of Fallot 10 . More than 500 cases of postoperative aspergillosis were found by Pasqualotto et al, and cardiac surgery patients was in 188 of 500 (37.6%).…”

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confidence: 99%

A Case of Aspergillus fumigatus Mediastinitis After Heart Surgery in Madani Heart Center, Tabriz, Iran

Ghotaslou

Parvizi

Safaei

et al. 2008

Progress Cardiovascular Nurs

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Reported here is the case of a 60-year-old male diabetic patient with mediastinitis caused by Aspergillus fumigatus following an open heart surgery that was successfully treated. A review of literature revealed that A. fumigatus as a cause of mediastinitis has been rarely described. Aspergillus infection should be considered in the differential diagnosis of mediastinitis after cardiac surgery, especially in a clinical setting of unexplained sepsis or nonhealing wound infection despite apparently adequate treatment.

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