Cases reported "Mycoplasma Infections"

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1/14. life-threatening mycoplasma hominis mediastinitis.

    mycoplasma hominis infections are easily missed because conventional methods for bacterial detection may fail. Here, 8 cases of septic mediastinitis due to M. hominis are reported and reviewed in the context of previously reported cases of mediastinitis, sternum wound infection, pleuritis, or pericarditis caused by M. hominis. All 8 patients had a predisposing initial condition related to poor cardiorespiratory function, aspiration, or complications related to coronary artery surgery or other thoracic surgeries. mediastinitis was associated with purulent pleural effusion and acute septic symptoms requiring inotropic medication and ventilatory support. Later, the patients had a tendency for indolent chronic courses with pleuritis, pericarditis, or open sternal wounds that lasted for several months. M. hominis infections may also present as mild sternum wound infection or as chronic local pericarditis or pleuritis without septic mediastinitis. Treatment includes surgical drainage and debridement. Antibiotics effective against M. hominis should be considered when treating mediastinitis of unknown etiology.
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keywords = wound infection, wound
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2/14. mycoplasma hominis infection in heart and lung transplantation.

    "Culture-negative" wound infection and mediastinitis secondary to mycoplasma hominis have been reported after cardiothoracic surgery but no case cluster has ever been described. We report 4 cases of infection in 3 cardiac and 1 bilateral sequential lung transplant recipient over 3 weeks of hospitalization. Successful treatment was achieved with early aggressive surgical intervention and combination antibiotics of clindamycin, doxycycline and/or ciprofloxacin. This cluster raises the question of nosocomial transmission of infection and supports a recommendation for single-room isolation and universal precautions for infected individuals.
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ranking = 0.49946241772713
keywords = wound infection, wound
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3/14. mycoplasma hominis infection in three renal transplant patients.

    We describe three cases of extragenital infection by mycoplasma hominis in three patients transplanted with kidneys from cadaver donors. In two patients, the microorganism was isolated in the exudate from the surgical wound after 72 hrs. of culture on blood-agar (Columbia 5% horse blood) in CO2 and under anaerobic conditions. In the remaining case, M. hominis was isolated in urine from a suprapubic catheter. All three patients responded satisfactorily to treatment with doxycycline. mycoplasma hominis should be considered as the possible source of infection in patients at risk because of immunosuppressive therapy and manipulation of the urinary tract. Detection and identification of the organism are difficult without the appropriate techniques.
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ranking = 0.0010751645457355
keywords = wound
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4/14. Wound infections after cesarean section with mycoplasma hominis and ureaplasma urealyticum. A report of three cases.

    mycoplasma hominis and ureaplasma urealyticum were isolated from the surgical wounds of three patients who developed endometritis and a wound infection after cesarean section. In all patients, aspiration of the incision yielded a cloudy serosanguinous exudate. Gram stain of the fluid revealed numerous white blood cells but no bacteria. All patients responded to antibiotic therapy and local wound care.
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ranking = 0.5016127468186
keywords = wound infection, wound
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5/14. Extragenital mycoplasma hominis infection: a report of two cases.

    mycoplasma hominis was isolated from the surgical wounds of two patients. One of these patients developed a septicaemia-like illness after coronary artery vein-graft surgery. Mycopl. hominis was isolated from the sternotomy wound and pleural fluid of this patient but not from his blood. No other pathogens were isolated. The second patient developed a low-grade soft-tissue infection due to Mycopl. hominis in a craniotomy wound; his condition responded to tetracycline treatment. The source of infection in both cases presumably was mycoplasmaemia which was secondary to urethral catheterization. Infections due to Mycopl. hominis are overlooked easily unless appropriate steps are taken to isolate and to identify these organisms.
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ranking = 0.0032254936372066
keywords = wound
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6/14. mycoplasma hominis surgical wound infection: a case report and discussion.

    A patient with mycoplasma hominis infection of a clean surgical wound that contained a prosthetic vascular graft had clinical findings similar to those observed in patients with acute bacterial infections. Etiologic diagnosis was delayed because M. hominis is not appreciated as a cause of surgical wound infections and because of its special growth characteristics. Confirmation of M. hominis infection requires awareness on the part of the clinician and assistance from an informed microbiologist. The organism can be recovered by means of media and techniques available in most microbiology laboratories. Although M. hominis has been reported to sporadically infect wounds, it is possible that many other wound infections with this organism are being missed. The clinical settings in which mycoplasmal infections might be expected are described.
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ranking = 2.9989248354543
keywords = wound infection, wound
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7/14. sternotomy infections with mycoplasma hominis.

    mycoplasma hominis caused sternal wound infections with mediastinitis in three patients. One infection occurred in a nonimmunocompromised man after coronary artery bypass grafting. The wound did not heal after repeated debridement, closed irrigation of the mediastinum with povidone-iodine solution, and antimycoplasmal chemotherapy; muscle flap grafting was eventually required. Two infections occurred in recipients of heart-lung transplants after the isolation of mycoplasma from bronchial secretions. Although no Mycoplasma species were isolated after specific antimycoplasmal therapy was begun, the wounds still did not heal. Both patients died of other complications. Infection of wounds after sternotomy is another of an increasing number of infections caused by M. hominis in the normal and immunocompromised host. Familiarity with the morphologic characteristics of M. hominis on bacteriologic culture media may increase the recognition of this pathogen in atypical clinical settings.
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ranking = 0.50268791136434
keywords = wound infection, wound
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8/14. Postcesarean wound infection by mycoplasma hominis in a patient with persistent postpartum fever.

    mycoplasma hominis was isolated in pure culture from a wound infection following delivery by cesarean section. The importance of recognizing this organism as a potential pathogen of the female genital tract is emphasized. Two commercially available isolation systems that allow the recovery of this organism are also described.
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ranking = 2.4973120886357
keywords = wound infection, wound
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9/14. Septicemia due to mycoplasma hominis.

    mycoplasma hominis was recovered from the blood of 7 patients with various underlying disorders. One patient had a legal abortion, another a Caesarian section, both followed by septicemia. Three patients had genital infections in pregnancy, followed by septicemia and spontaneous abortion. M. hominis was also recovered from cervix and urethra in 2 of these women. High serum antibody levels against M. hominis were demonstrated in 3 women. One female developed septicemia after cancer surgery, one male after heart surgery. In the first 6 patients described the septicemia was of short duration and self-limiting, in the 7th patient it was of long duration and appropriate antimicrobial treatment was required. From this patient M. hominis was also isolated from infected operation wounds.
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ranking = 0.0010751645457355
keywords = wound
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10/14. sternotomy infection due to mycoplasma hominis and ureaplasma urealyticum.

    mycoplasma hominis infections outside the urogenital tract are uncommon. An unusual case of sternal infection caused by both mycoplasma hominis and ureaplasma urealyticum is described. This is the first report found in the literature of mixed infection due to these microorganisms at this site. The outcome was favourable after drainage of the surgical wound and antibiotic therapy with clindamycin, gentamicin and doxycycline.
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ranking = 0.0010751645457355
keywords = wound
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