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| Formato: | Artículo científico |
| Lenguaje: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2015
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| Acceso en línea: | https://www.redalyc.org/articulo.oa?id=398942250013 |
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| _version_ | 1866816151116316672 |
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| author | Shi-Min Yuan |
| author_facet | Shi-Min Yuan |
| contents | Sternal wound tuberculosis following cardiac operations: a review Shi-Min Yuan Medicina Sternum Tuberculosis Surgical Wound Infection Objective: The diagnosis and treatment of sternal wound in - fections with mycobacteria are challenging. Such an infection is often associated with a delayed diagnosis and improper treat - ment that may lead to a worsened clinical outcome. The present study is designed to highlight its clinical features so as to facilitate a prompt diagnosis and timely treatment. Methods: MEDLINE, Highwire Press, and Google search engine were searched for publications in the English language, with no time limit, reporting on sternal wound infection caused by tuberculosis after cardiac surgery. Results: A total of 12 articles reporting on 14 patients were included in this study. Coronary artery bypass grafting was the underlying surgical procedure in more than half of the cases. Purulent discharge and cold abscess were the two main present - ing symptoms. Diagnosis of sternal wound infection was evi - denced in all 14 patients by different investigations, with culture of samples being the most sensitive method of identifying the pathogen. Good response to first-line anti-tuberculous agents was noted. Almost all patients required surgical debridement/ resection and, sometimes, sternal reconstruction. A delayed di - agnosis of sternal wound infection may lead to repeated re - currences. A comparison between patients with sternal wound infection due to tuberculosis and non-tuberculous mycobacte - rial infections showed that the former infections took an even longer period of time. Comparisons also revealed patients with sternal tuberculosis infection had a significantly higher mortality than patients with sternal non-tuberculous infec - tion (29.2% vs . 0%, P =0.051). Conclusion: Sternal infection caused by tuberculosis after cardiac surgery has a longer latency, better response to first-line drugs, and better outcomes in comparison with non-tuberculous sternal infection. Early diagnosis and early anti-tuberculous treatment can surely improve the patients’ prognosis. 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398942250013 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.30 |
| format | Artículo científico |
| id | redalyc_398942250013 |
| language | en |
| publishDate | 2015 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Sternal wound tuberculosis following cardiac operations: a review Shi-Min Yuan Medicina Sternum Tuberculosis Surgical Wound Infection Sternal wound tuberculosis following cardiac operations: a review Shi-Min Yuan Medicina Sternum Tuberculosis Surgical Wound Infection Objective: The diagnosis and treatment of sternal wound in - fections with mycobacteria are challenging. Such an infection is often associated with a delayed diagnosis and improper treat - ment that may lead to a worsened clinical outcome. The present study is designed to highlight its clinical features so as to facilitate a prompt diagnosis and timely treatment. Methods: MEDLINE, Highwire Press, and Google search engine were searched for publications in the English language, with no time limit, reporting on sternal wound infection caused by tuberculosis after cardiac surgery. Results: A total of 12 articles reporting on 14 patients were included in this study. Coronary artery bypass grafting was the underlying surgical procedure in more than half of the cases. Purulent discharge and cold abscess were the two main present - ing symptoms. Diagnosis of sternal wound infection was evi - denced in all 14 patients by different investigations, with culture of samples being the most sensitive method of identifying the pathogen. Good response to first-line anti-tuberculous agents was noted. Almost all patients required surgical debridement/ resection and, sometimes, sternal reconstruction. A delayed di - agnosis of sternal wound infection may lead to repeated re - currences. A comparison between patients with sternal wound infection due to tuberculosis and non-tuberculous mycobacte - rial infections showed that the former infections took an even longer period of time. Comparisons also revealed patients with sternal tuberculosis infection had a significantly higher mortality than patients with sternal non-tuberculous infec - tion (29.2% vs . 0%, P =0.051). Conclusion: Sternal infection caused by tuberculosis after cardiac surgery has a longer latency, better response to first-line drugs, and better outcomes in comparison with non-tuberculous sternal infection. Early diagnosis and early anti-tuberculous treatment can surely improve the patients’ prognosis. 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398942250013 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.30 |
| title | Sternal wound tuberculosis following cardiac operations: a review |
| topic | Medicina Sternum Tuberculosis Surgical Wound Infection |
| url | https://www.redalyc.org/articulo.oa?id=398942250013 |