Sternal osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient following coronary artery bypass surgery

Mycetomalike Skin Infection Due to Gordonia bronchialis in an Immunocompetent Patient

“…7 Cases Reported in the Literature-A PubMed search of articles indexed for MEDLINE using the term Gordonia bronchialis yielded 35 previously reported human cases of G bronchialis infection, most often associated with medical devices or procedures. Eighteen of these cases were sternal surgical site infections in patients with a history of cardiac surgery, 3,4,[12][13][14][15][16]30 including 2 outbreaks following coronary artery bypass grafting that were thought to be related to intraoperative transmission from a nurse. 3,4 Of the remaining cases, 12 were linked to a procedure or an indwelling catheter: 4 cases of peritonitis in the setting of continuous ambulatory peritoneal dialysis 17,18,26,27 ; 3 cases of skin and soft tissue infection (1 at the site of a prior needle injection, 10 1 after acupuncture, 11 and 1 after breast reduction surgery 29 ); 1 case of ventriculitis in a premature neonate with an underlying intraventricular shunt 19 ; 2 cases of pacemaker-induced endocarditis 20,28 ; 1 case of tibial osteomyelitis related to a bioresorbable polymer screw 21 ; and 1 case of chronic endophthalmitis with underlying intraocular lens implants.…”