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Background  Post cardiac surgery mediastinitis is the major infectious complication, despite the development of surgical techniques and the application of strict preventive measures.  The  Haemophilus influenzae  mediastinitis is very rare. The mediastinitis caused by the association between  Haemophilus influenzae  and  Aggregatibacter aphrophilus  has never been described to our knowledge.    Case presentation  We report the case of an exceptional combination of  Haemophilus influenzae  and  Aggregatibacter aphrophilus  in a patient operated for single bypass which is complicated by mediastinitis the 10th day after the surgical act.    Conclusion  The conclusion to be drawn from this work is to think in unusual seeds in case of mediastinitis post cardiac surgery for the elaboration of recommendations for antibiotic prophylaxis.

bmc infectious diseases

Exceptional association of two species of bacteria causing mediastinitis: Haemophilus influenzae (H. influenzae) and Aggregatibacter aphrophilus (A. aphrophilus)