Delayed sternal Mycobacterium tuberculosis infection after left ventricular assist device implantation : A case report
The incidence of Mycobacterium tuberculosis (Mtb) infection in patients with mechanical circulatory support devices is extremely rare. We present a case involving a 38-year-old male who experienced a delayed sternal Mtb infection following left ventricular assist device (LVAD) implantation. More than 5 months post-surgery, the patient was readmitted to the hospital presenting a subxiphoid abscess. The incision site displayed an unsatisfactory healing process after the incision and drainage of the abscess. Despite engaging in a rigorous treatment protocol, which included anti-infective therapy, vacuum-assisted closure, and surgical debridement, the patient's wound remained unhealed. Ultimately, after pus gene sequencing confirmed the diagnosis, the patient was administered a regimen combining anti-tuberculosis and anti-infective therapy, which culminated in the successful healing of the wound. This singular case study not only reveals the clinical progression of an unexpected Mtb infection post-implantation but also emphasizes the challenges encountered in diagnosis and management.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
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| Enthalten in: |
The International journal of artificial organs - 47(2024), 3 vom: 12. März, Seite 217-222 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wang, Zhihua [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 14.03.2024 Date Revised 14.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/03913988241229957 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368528332 |
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| 245 | 1 | 0 | |a Delayed sternal Mycobacterium tuberculosis infection after left ventricular assist device implantation |b A case report |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a The incidence of Mycobacterium tuberculosis (Mtb) infection in patients with mechanical circulatory support devices is extremely rare. We present a case involving a 38-year-old male who experienced a delayed sternal Mtb infection following left ventricular assist device (LVAD) implantation. More than 5 months post-surgery, the patient was readmitted to the hospital presenting a subxiphoid abscess. The incision site displayed an unsatisfactory healing process after the incision and drainage of the abscess. Despite engaging in a rigorous treatment protocol, which included anti-infective therapy, vacuum-assisted closure, and surgical debridement, the patient's wound remained unhealed. Ultimately, after pus gene sequencing confirmed the diagnosis, the patient was administered a regimen combining anti-tuberculosis and anti-infective therapy, which culminated in the successful healing of the wound. This singular case study not only reveals the clinical progression of an unexpected Mtb infection post-implantation but also emphasizes the challenges encountered in diagnosis and management | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Left ventricular assist device | |
| 650 | 4 | |a Mycobacterium tuberculosis | |
| 650 | 4 | |a infection | |
| 650 | 4 | |a sternal tuberculosis | |
| 700 | 1 | |a Hu, Junlong |e verfasserin |4 aut | |
| 700 | 1 | |a Zhao, Zeyuan |e verfasserin |4 aut | |
| 700 | 1 | |a Sun, Junjie |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Jianchao |e verfasserin |4 aut | |
| 700 | 1 | |a Qian, Xiaoliang |e verfasserin |4 aut | |
| 700 | 1 | |a Cheng, Zhaoyun |e verfasserin |4 aut | |
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