Wellens F, Potvliege C, Deuvaert F E, Primo G
Thorac Cardiovasc Surg. 1982 Oct;30(5):322-4. doi: 10.1055/s-2007-1022417.
A case of Aspergillus fumigatus osteochondritis after median sternotomy for open heart surgery is presented. To the best of our knowledge, it is the second well documented case that has been reported in the literature. Successful healing was obtained with combined operative treatment (consisting of a large resection of the 8th, 9th and 10th right costal cartilages and surrounding soft tissues), and systemic drug therapy with Amphotericin B. Repeated serologic studies and bone scans were used for both the diagnosis and monitoring of the evolution of the infection; these 2 tools are recommended in cases of mycotic infections in that area.
本文报告了一例心脏直视手术后正中胸骨切开术后发生烟曲霉性骨软骨炎的病例。据我们所知，这是文献中报道的第二例有充分记录的病例。通过联合手术治疗（包括对第8、9和10根右侧肋软骨及周围软组织进行大范围切除）和使用两性霉素B进行全身药物治疗，获得了成功治愈。重复的血清学研究和骨扫描用于感染的诊断和演变监测；在该区域发生霉菌感染的病例中，推荐使用这两种工具。
