Hagiya Hideharu, Yoshida Hisao, Yamamoto Norihisa, Kimura Keigo, Ueda Akiko, Nishi Isao, Akeda Yukihiro, Tomono Kazunori
Department of Infection Control and Prevention, Osaka University Graduate School of Medicine, Osaka, Japan.
Laboratory for Clinical Investigation, Osaka University Hospital, Osaka, Japan.
Transpl Infect Dis. 2017 Jun;19(3). doi: 10.1111/tid.12697. Epub 2017 May 3.
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.
