Abstract
We report the first case of Mycoplasma hominis periaortic abscess after heart-lung transplantation. The absence of sternal wound infection delayed the diagnosis, but the patient successfully recovered with debridement surgeries and long-term antibiotic therapy. Owing to the difficulty in detection and the intrinsic resistance to beta-lactams, M. hominis infections are prone to being misdiagnosed and undertreated. M. hominis should be suspected in cases where conventional microbiological identification and treatment approaches fail.
Keywords:
Mycoplasma hominis; extragenital infection; mediastinitis; periaortic abscess; transplantation.
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
MeSH terms
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Abscess / diagnostic imaging
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Abscess / microbiology
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Abscess / therapy*
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Adult
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Anti-Bacterial Agents / therapeutic use*
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Bronchoscopy
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Cardiomyopathy, Restrictive / surgery*
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Debridement / methods
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Dyspnea / drug therapy
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Dyspnea / microbiology
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Glucocorticoids / therapeutic use
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Graft Rejection / diagnostic imaging
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Graft Rejection / therapy
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Heart-Lung Transplantation / adverse effects*
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Humans
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Hypertension, Pulmonary / surgery*
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Levofloxacin / therapeutic use
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Male
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Methylprednisolone / therapeutic use
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Minocycline / therapeutic use
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Mycoplasma hominis / isolation & purification
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Mycoplasma hominis / pathogenicity*
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Mycoplasma hominis / physiology
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Nausea / chemically induced
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Plasmapheresis
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Postoperative Complications / etiology
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Postoperative Complications / therapy
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Respiratory Insufficiency / etiology
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Respiratory Insufficiency / therapy
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Sternum / surgery
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Surgical Wound Infection / diagnosis
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Tomography, X-Ray Computed
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Young Adult
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beta-Lactam Resistance
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beta-Lactamases / pharmacology
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beta-Lactamases / therapeutic use
Substances
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Anti-Bacterial Agents
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Glucocorticoids
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Levofloxacin
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beta-Lactamases
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Minocycline
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Methylprednisolone