Mediastinitis por Aspergillus fumigatus en un paciente pediátrico inmunocompetente posterior a una cardiocirugía

Postsurgical aspergillosis occurs primarily in immunocompetent patients whose main predisposing factor is the loss of skin and mucosal integrity during surgery. Local infection tends to be destructive and refractory to treatment and relapses are common. It is important to consider aspergillosis in t...

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Auteurs principaux: Acuña,Mirta, Farfán,Felipe, Cofré,Fernanda, Benadof,Dona
Langue:Spanish / Castilian
Publié: Sociedad Chilena de Infectología 2016
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Accès en ligne:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182016000100013
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Résumé:Postsurgical aspergillosis occurs primarily in immunocompetent patients whose main predisposing factor is the loss of skin and mucosal integrity during surgery. Local infection tends to be destructive and refractory to treatment and relapses are common. It is important to consider aspergillosis in the differential diagnosis of slowly progressive and destructive surgical site infections with negative bacterial cultures. We present the case of a child who developed Aspergillus fumigatus mediastinitis months after heart surgery.