AI Article Synopsis
- - Fungal osteomyelitis is a rare but serious infection that can occur after cardiac surgery, leading to high mortality rates.
- - A case study of a 60-year-old man with osteomyelitis following the implantation of a left ventricular assist device illustrated the challenges of diagnosis and treatment, involving microbiological tests and imaging scans.
- - Despite initial treatments like antifungal medications and wound therapy failing, the patient ultimately recovered after undergoing total sternectomy and pectoralis flap reconstruction, showing that a combination of surgery and antifungal therapy may be effective.
Article Abstract
Fungal osteomyelitis is an uncommon complication after cardiac surgery and associated with high mortality. A case of and osteomyelitis with device infection after implantation of a left ventricular assist device in a 60-year-old male patient is presented here. After clinical identification and confirmation with microbiological examinations and fluorodeoxyglucose positron emission tomography (FDG-PET) scan, debridement was performed. Surgical specimens grew and . Fluconazole, daptomycin, and negative pressure wound therapy were initiated, but failed to achieve healing. Total sternectomy and pectoralis flap reconstruction were performed. There was no recurrent infection for on a prolonged antifungal regime. The combination of antifungal therapy and aggressive surgical debridement may be useful to control fungal osteomyelitis.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8387541 | PMC |
| http://dx.doi.org/10.1007/s12055-021-01144-x | DOI Listing |
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