Two Cases of Cellulitis on the Saphenous Venectomy Scar after a Coronary Artery Bypass Graft.
- Author:
Jae Jeong SEO
;
Seong Jin KIM
;
Seung Chul LEE
;
Inn Ki CHUN
;
Young Ho WON
- Publication Type:Case Report
- Keywords:
Cellulitis;
Coronary artery bypass graft;
Saphenous venectomy
- MeSH:
Aged;
Bacterial Infections;
Cellulitis*;
Cicatrix*;
Coronary Artery Bypass*;
Coronary Vessels*;
Drainage;
Exotoxins;
Extremities;
Female;
Humans;
Hypersensitivity;
Male;
Middle Aged;
Onychomycosis;
Saphenous Vein;
Tissue Donors
- From:Korean Journal of Dermatology
1998;36(1):177-180
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report two cases of cellulitis on the saphenous venectomy scar which developed after a coronary artery bypass graft(CABG). A 68-year-old male and a 62-year-old female developed acute cellulitis in the saphenous vein donor extremity after CABG. The repeated bacterial cultures were negative in both cases. However, onychomycosis was confirmed in one patient. The intervals between CABG and the initial bout of cellulitis in the male and female patient were 10 and 22 months, respectively. Although the exact pathogenesis remains obscure, factors such as direct bacterial infection, hypersensitivity to streptococcal exotoxins, a local compromise of lymphatic and venous drainage, and fungal infection might have contributed to the development of cellulitis in these patients.
