Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Med Microbiol. 2020 Jul-Dec;38(3 & 4):492-495. doi: 10.4103/ijmm.IJMM_20_267.
Post-operative Aspergillus mediastinitis is regarded to be a devastating infection, usually affecting patients undergoing cardiothoracic surgery with specific predisposing factors characterised by a high mortality and chronic morbidity. Patient outcome after such a complication is extremely poor despite antifungal therapy and surgery. We describe the case of an immunocompetent 2-month-old child with obstructed supracardiac total anomalous pulmonary venous circulation (TAPVC) and severe pulmonary artery hypertension, who underwent TAPVC repair through median sternotomy and developed post-operative mediastinitis due to Aspergillus flavus.
术后烟曲霉性纵隔炎被认为是一种破坏性感染，通常影响接受心胸外科手术的患者，这些患者具有特定的易患因素，其特征是死亡率和慢性发病率高。尽管进行了抗真菌治疗和手术，此类并发症后的患者预后仍极差。我们描述了一例免疫功能正常的 2 个月大婴儿，患有阻塞性心上型完全性肺静脉异常（TAPVC）和严重肺动脉高压，该婴儿通过正中胸骨切开术接受 TAPVC 修复，并因黄曲霉菌而发生术后纵隔炎。
