Mediastinitis due to Gordona sputi after CABG

Genus Gordona is included in mycolic acid containing bacteria. This genus i nfection is very rare and occurs classically in immune-compromised patients . We report a patient who developed mediastinitis due to Gordona sputi afte r coronary artery bypass grafting (CABG) using left internal mammary artery . Immunocompromised factors were not noticed in this case but postoperative bleeding, the most important risk factor of mediastinitis, was found in hi s course. The treatment was antibiotic therapy, surgical soft tissue debrid ement and open irrigation with dilute povidone-iodine solution. However, in fectious reaction continued and Gordona sputi repeated cultured from wound Next procedure, debridement of sternal bone and omental transfer, was perfo rmed and skin was closed primarily. inflammatory reaction was attenuated an d the wound was healed Broad debridement and omental transfer were very eff ective for mediastinitis due to Gordona sputi after CABG.