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Case of the month: "bugs are eating my soul"--sternal abscess, osteomyelitis, and mediastinitis complicating a closed sternal fracture.

Authors
  • Randell, P A
  • Somers, L
Type
Published Article
Journal
Emergency medicine journal : EMJ
Publication Date
Sep 01, 2006
Volume
23
Issue
9
Pages
736–737
Identifiers
PMID: 16921099
Source
Medline
License
Unknown

Abstract

Wound complications of closed sternal fracture are rare, but may have serious consequences if not effectively managed. We report a case of a patient who presented to the emergency department with a sternal abscess, osteomyelitis, and mediastinitis complicating a closed sternal fracture. It is hypothesised that in our patient bacteraemia post intravenous drug use resulted in seeding of the haematoma with Staphylococcus aureus. Early diagnosis and a multidisciplinary team effort were important in ensuring a favourable outcome.

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