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J Wound Care. 2014 Feb;23(2 Suppl):S23-5.

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

Author information

1
Specialist Cardiothoracic Surgeon, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
2
Cardiothoracic Surgeon, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
3
Specialist Cardiothoracic Surgeon,Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
4
Clinical Associate, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
5
Chairman of Cardiothoracic Surgery, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

Abstract

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.

PMID:
24526171
DOI:
10.12968/jowc.2014.23.Sup2b.S23
[Indexed for MEDLINE]

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