两种细菌引起纵隔炎的特殊关联：流感嗜血杆菌（H. influenzae）和咽峡炎链球菌（A. aphrophilus）。
Exceptional association of two species of bacteria causing mediastinitis: Haemophilus influenzae (H. influenzae) and Aggregatibacter aphrophilus (A. aphrophilus).
机构信息
Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco.
Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Service de chirurgie cardiovasculaire, Rabat, Morocco.
出版信息
BMC Infect Dis. 2018 Aug 16;18(1):407. doi: 10.1186/s12879-018-3269-4.
BACKGROUND
Post cardiac surgery mediastinitis is the major infectious complication, despite the development of surgical techniques and the application of strict preventive measures. The Haemophilus influenzae mediastinitis is very rare. The mediastinitis caused by the association between Haemophilus influenzae and Aggregatibacter aphrophilus has never been described to our knowledge.
CASE PRESENTATION
We report the case of an exceptional combination of Haemophilus influenzae and Aggregatibacter aphrophilus in a patient operated for single bypass which is complicated by mediastinitis the 10th day after the surgical act.
CONCLUSION
The conclusion to be drawn from this work is to think in unusual seeds in case of mediastinitis post cardiac surgery for the elaboration of recommendations for antibiotic prophylaxis.
背景
尽管外科技术的发展和严格预防措施的应用，心脏手术后纵隔炎仍是主要的感染性并发症。流感嗜血杆菌性纵隔炎非常罕见。据我们所知，流感嗜血杆菌和副流感嗜血杆菌联合引起的纵隔炎尚未有报道。
病例介绍
我们报告了一例罕见的组合，即患者行单一旁路手术后第 10 天发生纵隔炎，该患者为 Haemophilus influenzae 和 Aggregatibacter aphrophilus 合并感染。
结论
从这项工作中得出的结论是，在心脏手术后发生纵隔炎的情况下，要考虑到不常见的病原体，以便制定抗生素预防建议。
Zotero 插件