Acuña Mirta, Farfán Felipe, Cofré Fernanda, Benadof Dona
Rev Chilena Infectol. 2016 Feb;33(1):75-8. doi: 10.4067/S0716-10182016000100013.
Postsurgical aspergillosis occurs primarily in immunocompetent patients whose main predisposing factor is the loss of skin and mucosal integrity during surgery. Local infection tends to be destructive and refractory to treatment and relapses are common. It is important to consider aspergillosis in the differential diagnosis of slowly progressive and destructive surgical site infections with negative bacterial cultures. We present the case of a child who developed Aspergillus fumigatus mediastinitis months after heart surgery.
术后曲霉病主要发生在免疫功能正常的患者中，其主要诱发因素是手术过程中皮肤和黏膜完整性的丧失。局部感染往往具有破坏性且治疗效果不佳，复发很常见。在对细菌培养阴性的缓慢进展性和破坏性手术部位感染进行鉴别诊断时，考虑曲霉病很重要。我们报告一例心脏手术后数月发生烟曲霉纵隔炎的儿童病例。
