Boyle E M, Burdine J, Bolman R M
Department of Surgery, University of Washington, Seattle.
J Heart Lung Transplant. 1993 May-Jun;12(3):508-12.
Mycoplasma hominis and Ureaplasma urealyticum are members of the Mycoplasma genus that can infect surgical wounds. These organisms are rarely cultured by conventional laboratory techniques, and they respond poorly to commonly used broad-spectrum antibiotics. Including this case, five cases of Mycoplasma mediastinitis have been reported, three of which followed heart-lung transplantation. Successful treatment of Mycoplasma mediastinitis after heart-lung transplantation was achieved in this patient with extensive debridement, muscle-flap coverage, and long-term antibiotics. Possible sources of this infection after heart-lung transplantation and treatment options are discussed.
人型支原体和解脲脲原体是支原体属的成员，可感染手术伤口。这些微生物很少能用传统实验室技术培养出来，并且它们对常用的广谱抗生素反应不佳。包括本病例在内，已有5例支原体性纵隔炎的报道，其中3例发生在心肺移植术后。该心肺移植术后支原体性纵隔炎患者通过广泛清创、肌瓣覆盖和长期使用抗生素获得了成功治疗。本文讨论了心肺移植术后这种感染的可能来源及治疗选择。
