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Case of the month: “Bugs are eating my soul” – sternal abscess, osteomyelitis, and mediastinitis complicating a closed sternal fracture
  1. P A Randell,
  2. L Somers
  1. Royal Free Hospital, London, UK
  1. Correspondence to:
 Dr Paul Randell
 Flat 86, White House, Vicarage Crescent, Battersea, London, SW11 3LH, UK; paulrandell{at}gmail.com

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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Footnotes

  • Competing interests: none declared

  • Informed consent was obtained for publication of the person’s details in this report

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