Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery

IDCases

Javad Najjar Mojarrab¹  Thomas Fritsche²  Somto Nwaedozie²  Prathima Gopinath²  Rana M. Nasser³ 

[1] Correspondence to: Department of Internal Medicine, Marshfield Clinic Health System – Marshfield, 1,000 North Oak Avenue 3K2, Marshfield, WI 54449, USA.;Department of Internal Medicine, Marshfield Clinic Health System – Marshfield, Marshfield, WI 54449, USA;Department of Pathology, Marshfield Clinic Health System – Marshfield, Marshfield, WI 54449, USA;

关键词: Surgical site infection;    Sternal osteomyelitis;    Gordonia bronchialis;   

DOI  :  

来源: DOAJ

【 摘 要 】

Skin commensals, especially gram-positive cocci, are the usual microbial organisms that cause post-operative sternal wound infections. Rarely, environmental bacteria such as Gordonia spp. have been implicated as etiological agents in post-cardiac procedure surgical site infections. We report a case of a patient who presented with post-coronary artery bypass sternal osteomyelitis caused by this uncommon pathogen, and review relevant medical literature to identify commonalities in presentation, diagnosis and management. Repeat isolation of Gordonia bronchialis in the setting of post-procedure wound infection should raise suspicion for a real pathogenicity. Definitive identification requires a broad range of bacterial PCR DNA amplification and sequencing followed by susceptibility testing as treatment may require a prolonged course of antibiotics.

【 授权许可】

Unknown