{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:37:42Z","timestamp":1768433862174,"version":"3.49.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T00:00:00Z","timestamp":1565913600000},"content-version":"vor","delay-in-days":227,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Serratia marcescens<\/jats:italic>\n                      is a facultative anaerobic bacillus that very rarely causes sternal infections. We describe a sternal abscess resulting from chronic\n                      <jats:italic toggle=\"yes\">S. marcescens<\/jats:italic>\n                      infection that presented 13 years after coronary artery bypass graft surgery (CABG).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>\n                      A 71-year-old diabetic man presented 13 years after CABG with a new distal sternal \u201cmass\u201d that intermittently drained purulent fluid. He was treated with oral antibiotics, but the symptoms persisted. Exploration revealed an abscess extending to the sternal body. A non-absorbable braided suture and a sternal wire were removed, but a sinus tract remained despite further antibiotics and conservative care. Subsequent computed tomography and bone scintigraphy revealed a substernal soft tissue density with bone involvement. An abscess cavity was excised from the substernal anterior mediastinum. Another non-absorbable braided suture was removed. Cultures grew carbapenem-resistant\n                      <jats:italic toggle=\"yes\">S. marcescens<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      Nosocomial or hospital-associated clusters of\n                      <jats:italic toggle=\"yes\">S. marcescens<\/jats:italic>\n                      infection are known, but isolated infections seldom occur.\n                      <jats:italic toggle=\"yes\">S. marcescens<\/jats:italic>\n                      infections in cardiac surgery patients are unusual. Only a single report described a chronic sternal infection resulting from\n                      <jats:italic toggle=\"yes\">S. marcescens<\/jats:italic>\n                      that was identified 15 years after an initial episode caused by the same organism in a heart transplant recipient who was immunocompromised. Diabetes and non-absorbable braided sutures placed for hemostasis at the wire sites were probably contributing factors to our patient\u2019s chronic infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This report described the presentation and treatment of a chronic\n                      <jats:italic toggle=\"yes\">S. marcescens<\/jats:italic>\n                      sternal abscess that occurred 13 years after CABG. Chronic sternal infections due to this organism in cardiac surgery patients are exceeding rare.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2019.08.007","type":"journal-article","created":{"date-parts":[[2019,8,17]],"date-time":"2019-08-17T11:14:28Z","timestamp":1566040468000},"page":"50-53","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Chronic Serratia marcescens sternal infection presenting 13 years after coronary artery surgery"],"prefix":"10.1097","volume":"62","author":[{"given":"Ashley","family":"Chinn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Knabel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James R.","family":"Sanger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul S.","family":"Pagel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossein G.","family":"Almassi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-13-20260114","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1186\/1471-2334-7-112","article-title":"Superficial and deep sternal wound infection after more than 9000 coronary artery bypass graft (CABG): incidence, risk factors, and mortality","volume":"7","author":"Salehi Omran","year":"2007","journal-title":"BMC Infect. 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