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The Journal of Thoracic and Cardiovascular Surgery, Vol 75, 91-96, Copyright © 1978 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Mycobacterium fortuitum epidemics after open-heart surgery

F Robicsek, HK Daugherty, JW Cook, JG Selle, TN Masters, PR O'Bar, CR Fernandez, CU Mauney and DM Calhoun

We present the clinical and epidemiological features of Mycobacterium fortuitum epidemics involving 19 patients who underwent open-heart surgery. The source of the infection could not be identified. However, bone wax and homografts utilized at that time have been suspected. The infected patients responded poorly to antibiotic management and their courses in most cases were influenced beneficially by total sternectomy and transplantation of the omentum into the mediastinum. The emergence of M. fortuitum may represent an aggressive bacterial strain resistant to presently used broad-spectrum antibiotic drugs.

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