A deep sternal wound infection caused by Ureaplasma urealyticum

Abstract

Ureaplasma species are usually associated with infection of the urogenital tract. An unusual case of a sternal wound infection caused by Ureaplasma urealyticum in a 41-year-old male after aortic valve replacement is described.

A case of Ureaplasma parvum meningitis in an adult after transphenoidal ablation of craniopharyngioma

“…In our case, the diagnosis was made with molecular methods. Other Ureaplasma infections diagnosed in an unexpected way by 16S rDNA sequencing have been described: U. urealyticum in peri-operative samples for a sternal wound infection, U. urealyticum in post-mastoidectomy brain abscess, or U. urealyticum in CSF (Geissdörfer et al, 2008;Lucke et al, 2010;Deetjen et al, 2014). Here, 16S rDNA sequencing appeared as a reliable method for the detection of such fastidious, unexpected pathogens in post-operative meningitis.…”

“…A man also developed mediastinitis, pleuritis and pericarditis due to Mycoplasma hominis and U. urealyticum a few days after aortic valve and superior third ascending aorta replacement (García-de-la-Fuente et al, 2008). Another patient developed U. urealyticum sternal wound infection 13 days after bioprosthetic aortic valve replacement (Lucke et al, 2010). A 64year old man underwent an U. urealyticum aortic graft infection two months after the operation of a ruptured infrarenal aortic aneurysm (Levi et al, 1995).…”

“…Conversely, extragenital adult infections outside of immunosuppression context are rare. However, some Ureaplasma infections have been reported in immunocompetent adults: post-operative mediastinitis, pleuritis and pericarditis (García-de-la-Fuente et al, 2008), or some post-operative sternal wound infections (Walkty et al, 2009;Lucke et al, 2010) have been described out of any immunosuppression context. As in these descriptions, no immunodeficiency has been noticed in our case.…”

Invasive Ureaplasma Infection in Patients Receiving Rituximab and Other Humoral Immunodeficiencies—A Case Report and Review of the Literature

“…Ureaplasma spp. are frequent colonizers in asymptomatic patients, but they have been implicated in chorioamnionitis, neonatal infection, urethritis [28, 29], surgical site infections [30], and post-transplant severe hyperammonemia [31, 32]. This case report and literature review identifies a subset of patients outside of these populations who are at risk for invasive disease:…”

Φαινοτυπική και γονοτυπική μελέτη της ανθεκτικότητας του Ureaplasma urealyticum στη Βόρειο Ελλάδα

“…Thr445Ser *Οι μεταλλάξεις που είναι σε είναι έντονη γραφή κα με χρωματική επισήμανση θεωρούνται τυπικές και σχετίζονται με ανθεκτικότητα σύμφωνα με τη διεθνή βιβλιογραφία (Beeton et al,. 2009b, Xiao et al, 2012 (Beeton et al, 2009b, Xiao et al, 2012 (Bayraktar et al, 2010, Leli et al, 2012, De Francesco et al, 2012, Lucke et al, 2010, Zdrodowska-Stefanow et al, 2006a, Zdrodowska-Stefanow et al, 2006b, Biernat-Sudolska et al, 2007. (Beeton et al, 2009b, Xiao et al, 2012.…”