Experts and Doctors on mediastinitis in France
Forestier E, Remy V, Lesens O, Martinot M, Hansman Y, Eisenmann B, et al
. A case of Aspergillus mediastinitis after heart transplantation successfully treated with liposomal amphotericin B, caspofungin and voriconazole. Eur J Clin Microbiol Infect Dis. 2005;24:347-9 pubmed
..In the few existing reports, evolution was generally fatal, especially in immunocompromised patients, despite treatment with antifungal drugs and surgery. ..
Caballero M, Mongardon N, Haouache H, Vodovar D, Ben Ayed I, Auvergne L, et al
. Aspergillus mediastinitis after cardiac surgery. Int J Infect Dis. 2016;44:16-9 pubmed publisher
..In addition to surgical debridement, the central component of antifungal therapy should include amphotericin B or voriconazole. ..
Skurnik D, Lasocki S, Bremont S, Muller Serieys C, Kitzis M, Courvalin P, et al
. Development of ertapenem resistance in a patient with mediastinitis caused by Klebsiella pneumoniae producing an extended-spectrum beta-lactamase. J Med Microbiol. 2010;59:115-9 pubmed publisher
..This observation stresses the risk of selection of pan-penem resistant strains of enterobacteria when ertapenem is used for the treatment of severe infections due to ESBL-producing enterobacteria...
Doddoli C, Trousse D, Avaro J, Djourno X, Giudicelli R, Fuentes P, et al
. [Acute mediastinitis except in a context of cardiac surgery]. Rev Pneumol Clin. 2010;66:71-80 pubmed publisher
..Repeated postoperative CT scanning and close clinical and laboratory monitoring could make an additional thoracotomy a second-line procedure...