Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery.

Journal of Medical Ultrasonics
Takahiro HosokawaEiji Oguma

Abstract

To compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery. We included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher's exact and Mann-Whitney U tests were used for statistical comparisons. A significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1-22) vs. 6....Continue Reading

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Citations

Jan 3, 2021·Journal of Medical Ultrasonics·Takahiro HosokawaEiji Oguma
Apr 21, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Takahiro HosokawaEiji Oguma

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