Delayed sternal Mycobacterium tuberculosis infection after left ventricular assist device implantation: A case report.
Int J Artif Organs
; 47(3): 217-222, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38362751
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
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Coração Auxiliar
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Insuficiência Cardíaca
Tipo de estudo:
Guideline
Limite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Int J Artif Organs
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China