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Ann Thorac Surg 1991;52:868-870
© 1991 The Society of Thoracic Surgeons


Articles

Primary Aspergillus osteomyelitis of the sternum

William A. Walker, MD*, James W. Pate, MD

Department of Surgery, University of Tennessee College of Medicine, Memphis, Tennessee USA

Accepted for publication March 23, 1991.

* Address reprint requests to Dr Walker, Division of Cardiothoracic Surgery, University of Tennessee College of Medicine, 956 Court Ave, Memphis, TN 38163.

We report 2 cases of primary sternal osteomyelitis caused by Aspergillus; previously reported cases have been complications of sternotomy. Both patients were healthy young men with recent intravenous drug abuse. No other focus or predisposing factors were found. Both were treated with partial sternectomy and chondrectomy; 1 received long-term amphotericin B therapy. Both are doing well [equation] years after operation. Drug usage, acquired immunodeficiency syndrome, and medical immunosuppression may lead to other cases.




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Copyright © 1991 by The Society of Thoracic Surgeons.