CTICasesE. coli Sternal Osteomyelitis and Anterior Mediastinitis
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Imaging findings
Radiographs suggest atelectasis or consolidation. Lateral projection reveals a large abnormality involving the sternum and retrosternal soft tissues. CT confirms extensive infection involving the manubrium, sternum, and anterior mediastinum.
Key takeaways
Severe E. coli infection can lead to sternal osteomyelitis and anterior mediastinitis, particularly in patients with predisposing conditions such as diabetes and antiphospholipid syndrome. This aggressive infection requires surgical debridement and targeted antibiotic treatment.
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