室间隔缺损修补术后并发心内脓肿伴皮肤瘘，酷似胸骨伤口感染。
Intracardiac abscess with cutaneous fistula secondary to ventricular septal defect repair simulating sternal wound infection.
作者信息
Rafael Aldo Elmer, Keshavamurthy Suresh, Sepulveda Edgardo, Miranda Cyndee Cruz, Okamoto Toshihiro, Pettersson Gosta Bengt
机构信息
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio 44195.
出版信息
Tex Heart Inst J. 2014 Jun 1;41(3):324-6. doi: 10.14503/THIJ-13-3199. eCollection 2014 Jun.
Abstract
Cutaneous fistula as a clinical presentation of intracardiac abscess of the right side is such an unusual occurrence that it has not until now been reported in the English-language medical literature. We present a rare case of right-sided infective endocarditis caused by Achromobacter xylosoxidans in which recurrent infection presented as sternal wound discharge. The infection was found to have an intracardiac origin and was successfully managed by radical débridement on cardiopulmonary bypass.
摘要
皮肤瘘作为右侧心内脓肿的临床表现非常罕见，迄今为止英文医学文献中尚未有相关报道。我们报告一例罕见的由木糖氧化无色杆菌引起的右侧感染性心内膜炎，其反复感染表现为胸骨伤口渗液。发现感染源自心内，通过体外循环下的根治性清创术成功治愈。
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