Cardiothoracic surgical site phaeohyphomycosis caused by Bipolaris mould, multiple US states, 2008-2013: a clinical description

Snigdha Vallabhaneni; Anne E Purfield; Kaitlin Benedict; Ulzii Luvsansharav; Shawn R Lockhart; Cau D Pham; Neil Pascoe; Gary Heseltine; Wendy Chung; Emily Hall; Karen B Brust; Charlotte F Wheeler; Alison Laufer Halpin; Benjamin J Park

doi:10.1093/mmy/myv101

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Cardiothoracic surgical site phaeohyphomycosis caused by Bipolaris mould, multiple US states, 2008-2013: a clinical description

Journal article

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Peer reviewed

Cardiothoracic surgical site phaeohyphomycosis caused by Bipolaris mould, multiple US states, 2008-2013: a clinical description

Snigdha Vallabhaneni, Anne E Purfield, Kaitlin Benedict, Ulzii Luvsansharav, Shawn R Lockhart, Cau D Pham, Neil Pascoe, Gary Heseltine, Wendy Chung, Emily Hall, …

Medical mycology (Oxford), Vol.54(3), pp.318-321

03/2016

DOI: 10.1093/mmy/myv101

PMID: 26705838

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Abstract

Bipolaris mould surgical site infections (SSIs) are exceedingly rare. We describe 21 cases of Bipolaris SSIs in pediatric and adult cardiothoracic surgery patients at ten hospitals in Texas, Arkansas, and Florida during 2008-2013. Median case-patient age was 55 years (range: 3 days-82 years), and 19 (90%) were male. Ten (48%) had coronary artery bypass or valve surgery, and seven (33%) had heart transplantation. Fifteen (71%) had more than one cardiothoracic procedure (median: 3, range: 1-11). Thirteen (62%) case-patients (all 5 pediatric patients, and 8 (50%) of 16 adult patients) had delayed sternal closure (chest closed >1 day [median = 8 days; range: 2-22] following the initial cardiothoracic procedure). Thirteen (62%) had mediastinitis. Median time from initial surgery to positive Bipolaris culture was 20 days (range: 6-497). Sixteen (76%) case-patients died.

Adolescent

Adult

Age Distribution

Aged

Arkansas - epidemiology

Ascomycota - isolation & purification

Child

Child, Preschool

Female

Florida - epidemiology

Humans

Infant

Infant, Newborn

Male

Middle Aged

Phaeohyphomycosis - epidemiology

Phaeohyphomycosis - microbiology

Phaeohyphomycosis - pathology

Sex Distribution

Surgical Wound Infection - epidemiology

Surgical Wound Infection - microbiology

Surgical Wound Infection - pathology

Survival Analysis

Texas - epidemiology

Thoracic Surgical Procedures - adverse effects

Young Adult

Details

Title: Subtitle: Cardiothoracic surgical site phaeohyphomycosis caused by Bipolaris mould, multiple US states, 2008-2013: a clinical description
Creators: Snigdha Vallabhaneni - Epidemic Intelligence Service
Anne E Purfield - Epidemic Intelligence Service
Kaitlin Benedict - Centers for Disease Control and Prevention
Ulzii Luvsansharav - Epidemic Intelligence Service
Shawn R Lockhart - Centers for Disease Control and Prevention
Cau D Pham - Centers for Disease Control and Prevention
Neil Pascoe - Texas Department of State Health Services
Gary Heseltine - Texas Department of State Health Services
Wendy Chung - Dallas County
Emily Hall - Dallas County
Karen B Brust - Scott & White Hospital
Charlotte F Wheeler - Scott & White Hospital
Alison Laufer Halpin - Centers for Disease Control and Prevention
Benjamin J Park - Centers for Disease Control and Prevention
Resource Type: Journal article
Publication Details: Medical mycology (Oxford), Vol.54(3), pp.318-321
DOI: 10.1093/mmy/myv101
PMID: 26705838
ISSN: 1369-3786
eISSN: 1460-2709
Language: English
Date published: 03/2016
Academic Unit: Internal Medicine
Record Identifier: 9984359949502771

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