Chronic sternum wound infection caused by Mycobacterium tuberculosis after cardiac surgery

Ann Thorac Surg. 2012 Oct;94(4):1332-5. doi: 10.1016/j.athoracsur.2012.02.028.

Abstract

The sternum wound infection, caused by Mycobacterium tuberculosis after a cardiac surgery, is an extremely rare postoperative complication. It requires a high degree of suspicion for a correct diagnosis. Often a successful treatment is impeded by the insidious nature of tuberculosis infection and the time-consuming diagnosis process. We report two cases in which we successfully treated this infection with sternum resection, wound debridement, and antituberculosis medication.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antitubercular Agents / therapeutic use
  • Biopsy
  • Coronary Artery Bypass / adverse effects*
  • Coronary Artery Disease / surgery*
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Male
  • Mycobacterium tuberculosis / isolation & purification*
  • Positron-Emission Tomography
  • Sternum / microbiology*
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / drug therapy
  • Surgical Wound Infection / microbiology*
  • Tomography, X-Ray Computed
  • Tuberculosis, Osteoarticular / diagnosis
  • Tuberculosis, Osteoarticular / drug therapy
  • Tuberculosis, Osteoarticular / microbiology*

Substances

  • Antitubercular Agents