Poststernotomy Osteomyelitis Presenting with Severe Sepsis and Rhabdomyolysis
Joint Authors
Tan, Eugene M.
Cawcutt, Kelly
Lyle, Melissa
Temesgen, Zelalem
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 39-year-old male, who recently underwent a composite valve graft of the aortic root and ascending aorta for bicuspid aortic valve and aortic root aneurysm, was hospitalized for severe sepsis, rhabdomyolysis (creatine kinase 29000 U/L), and severe liver dysfunction (AST > 7000 U/L, ALT 4228 U/L, and INR > 10).
Cardiac magnetic resonance imaging (MRI) findings were consistent with sternal osteomyelitis with a 1.5 cm abscess at the inferior sternotomy margin, which was contiguous with pericardial thickening.
Aspiration and culture of this abscess did not yield any organisms, so he was treated with vancomycin and cefepime empirically for 4 weeks.
Because this patient was improving clinically on antibiotics and did not show external signs of wound infection, there was no compelling indication for sternectomy.
This patient’s unusual presentation with osteomyelitis and rhabdomyolysis has never been reported and is crucial for clinicians to recognize in order to prevent delays in diagnosis.
American Psychological Association (APA)
Tan, Eugene M.& Lyle, Melissa& Cawcutt, Kelly& Temesgen, Zelalem. 2016. Poststernotomy Osteomyelitis Presenting with Severe Sepsis and Rhabdomyolysis. Case Reports in Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101109
Modern Language Association (MLA)
Tan, Eugene M.…[et al.]. Poststernotomy Osteomyelitis Presenting with Severe Sepsis and Rhabdomyolysis. Case Reports in Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101109
American Medical Association (AMA)
Tan, Eugene M.& Lyle, Melissa& Cawcutt, Kelly& Temesgen, Zelalem. Poststernotomy Osteomyelitis Presenting with Severe Sepsis and Rhabdomyolysis. Case Reports in Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101109
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101109