Delayed sternal Mycobacterium tuberculosis infection after left ventricular assist device implantation: A case report.

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Zhihua Wang, Junlong Hu, Zeyuan Zhao, Junjie Sun, Jianchao Li, Xiaoliang Qian, Zhaoyun Cheng
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引用次数: 0

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.

左心室辅助装置植入术后延迟胸骨结核分枝杆菌感染:病例报告。
使用机械循环支持装置的患者发生结核分枝杆菌(Mtb)感染的情况极为罕见。我们介绍了一例病例,患者是一名 38 岁的男性,在植入左心室辅助装置(LVAD)后出现胸骨延迟性 Mtb 感染。术后 5 个多月,患者因剑突下脓肿再次入院。脓肿切开引流后,切口部位的愈合情况并不理想。尽管采取了严格的治疗方案,包括抗感染治疗、真空辅助闭合和手术清创,但患者的伤口仍未愈合。最终,在脓液基因测序确诊后,患者接受了抗结核和抗感染相结合的治疗方案,最终伤口成功愈合。这一独特的病例研究不仅揭示了植入手术后意外的Mtb感染的临床进展,还强调了在诊断和管理方面遇到的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Artificial Organs
International Journal of Artificial Organs 医学-工程:生物医学
CiteScore
3.40
自引率
5.90%
发文量
92
审稿时长
3 months
期刊介绍: The International Journal of Artificial Organs (IJAO) publishes peer-reviewed research and clinical, experimental and theoretical, contributions to the field of artificial, bioartificial and tissue-engineered organs. The mission of the IJAO is to foster the development and optimization of artificial, bioartificial and tissue-engineered organs, for implantation or use in procedures, to treat functional deficits of all human tissues and organs.
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