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Endogenously acquired deep sternal wound infection after congenital cardiac surgery

^a Klinik für Herzchirurgie, Herzzentrum, Universität Leipzig, Strumpellstrasse 39 Leipzig 04289, Germany
^b Great Ormond Street Hospital for Children, NHS Trust, London, UK

^* Corresponding author. Tel.: +49-341-865-1424; fax: +49-341-865-1452
walt{at}medizin.uni-leipzig.de

A 10-month-old child from the Middle East received complete correction for tetralogy of Fallot. Despite an initially uneventful postoperative course, he developed severe deep sternal wound infection after 7 days. This complication was endogenously acquired caused by a resistant and rarely present in Europe, Streptococcus pneumonia. Following surgical debridement, betadine rinsing for 3 days and with a course of specific antibiotic therapy, the patient was discharged in good health.

Key Words: Congenital cardiac surgery; Deep sternal wound infection; Endogenous infection