Sternal Wound Infections and Endocarditis Due to Organisms of the Mycobacterium fortuitum Complex
Authors: JOEL N. KURITSKY
Journal: Annals of Internal Medicine (1983)

Brief Reports1 June 1983Sternal Wound Infections and Endocarditis Due to Organisms of the Mycobacterium fortuitum ComplexJOEL N. KURITSKY, M.D., MICHAEL G. BULLEN, M.D., CLAIRE V. BROOME, M.D., VELLA A. SILCOX, M.S., ROBERT C. GOOD, Ph.D., RICHARD J. WALLACE Jr., M.D.JOEL N. KURITSKY, M.D., MICHAEL G. BULLEN, M.D., CLAIRE V. BROOME, M.D., VELLA A. SILCOX, M.S., ROBERT C. GOOD, Ph.D., RICHARD J. WALLACE Jr., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-98-6-938 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSternal wound infections after surgery occur in 0.5% to 6% of all patients requiring sternotomy incisions (1-4). Most infections have been due to staphylococci and aerobic gram-negative organisms, although fungal agents have also been implicated (1, 2, 4-7). Recently two outbreaks of sternal wound infection due to organisms of the Mycobacterium fortuitum complex have been reported; however, the method of transmission could not be found (8). We report an outbreak of sternal wound infection, endocarditis, and saphenous graft-site infection due to M. fortuitum organisms in which an environmental source was implicated in patients who had had cardiac surgery.From 1...References1. ENGLEMAN R, WILLIAMS C, and GOUGE T. Mediastinitis following open heart surgery: review of two year's experience. Arch Surg. 1973;107:772-8. CrossrefMedlineGoogle Scholar2. JIMENZ-MARTINEZ M, ARGUERO-SANCHEZ R, PEREZ-ALVAREZ J, and MINA-CASTANADA P. Anterior mediastinitis as a complication of median sternotomy incision: diagnostic and therapeutic considerations. Surgery. 1970;67:929-34. MedlineGoogle Scholar3. CULLIFORD A, CUNNINGHAM J, ZEFF R, ISOM O, TEIKO P, and SPENCER F. Sternal and costochondral infections following open-heart surgery: a review of 2, 594 cases. J Thorac Cardiovasc Surg. 1976;72:714-26. CrossrefMedlineGoogle Scholar4. NELSON J and NELSON R. The incidence of hospital wound infection in thoracotomies. J Thorac Cardiovasc Surg. 1967;54:586-91. CrossrefMedlineGoogle Scholar5. BAFFES T, CHASE R, RALK G, BOYD A, and REED G. Post-operative infections in 1,136 consecutive cardiac operations. Surgery. 1970;68:791-9. MedlineGoogle Scholar6. ROSENDORF L, DAICOFF G, and GAER H. Sources of gram-negative infection after open-heart surgery. J Thorac Cardiovasc Surg. 1974;67:195-201. CrossrefMedlineGoogle Scholar7. ATTAH C and CERRUTI M. Aspergillus osteomyelitis of sternum after cardiac surgery. NY State J Med. 1979;79:1420-1. MedlineGoogle Scholar8. HOFFMAN P, FRASER D, ROBICSEK F, O'BAR P, and MAUNDY C. Two outbreaks of sternal wound infections due to organisms of the Mycobacterium fortuitum complex. J Infect Dis. 1981;143:533-42. CrossrefMedlineGoogle Scholar9. SILCOX V, GOOD R, and FLOYD M. Identification of clinically significant Mycobacterium fortuitum complex isolates. J Clin Microbiol. 1981;14:686-91. CrossrefMedlineGoogle Scholar10. GRUFT H, FALKENHAM J, and PARKER B. Recent experience in the epidemiology of disease caused by atypical Mycobacterium. Rev Infect Dis. 1981;3:990-6. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JOEL N. KURITSKY, M.D.; MICHAEL G. BULLEN, M.D.; CLAIRE V. BROOME, M.D.; VELLA A. SILCOX, M.S.; ROBERT C. GOOD, Ph.D.; RICHARD J. 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