Late presentation of a deep sternal wound infection and left breast abscess

In this paper, we present a case review of a 58-year-old female who presented to our emergency department with pyrexia, dyspnoea, dehydration and pain in her left breast six months following coronary artery bypass grafting (CABG). Although her sternotomy wound had healed well, examination revealed f...

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Bibliographic Details
Published in:	Journal of wound care Vol. 23; no. Sup2b; pp. S23 - S25
Main Authors:	Mustafa, A, Carr, C, Alkhafagi, S, Mughal, N, Omer, M, Alkhulaifi, A
Format:	Journal Article
Language:	English
Published:	London MA Healthcare 01-02-2014
Subjects:	Abscess - complications Abscess - microbiology Acinetobacter baumannii Acinetobacter Infections - complications Breast Diseases - complications Breast Diseases - microbiology Coronary Artery Bypass - adverse effects Debridement - methods Diabetic Angiopathies - surgery Female Humans Klebsiella Infections - complications Klebsiella pneumoniae Middle Aged Negative-Pressure Wound Therapy Nursing Practice Sternum - pathology Surgical Wound Infection - diagnosis Surgical Wound Infection - microbiology Surgical Wound Infection - pathology Surgical Wound Infection - surgery Time Factors sternal wound infection negative pressure wound therapy surgical debridement
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Summary:	In this paper, we present a case review of a 58-year-old female who presented to our emergency department with pyrexia, dyspnoea, dehydration and pain in her left breast six months following coronary artery bypass grafting (CABG). Although her sternotomy wound had healed well, examination revealed fluctuance of the whole precordium and left breast. She underwent antibiotic treatment and subsequent surgical debridement, followed by the application of vacuum-assisted dressings. Surgical reconstruction was deemed unsuitable and therefore the patient continued to be managed with vacuum dressings followed by routine dressings to allow the wound to heal by secondary intention. The patient was discharged three months after initial presentation in a good condition. The wound had completely healed four months later.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0969-0700 2052-2916
DOI:	10.12968/jowc.2014.23.Sup2b.S23