Abstract：
Carbapenem-resistant Enterobacterales are being reported increasingly and cause nosocomial infections, which may include postoperative mediastinitis. This paper reports a case of postoperative mediastinitis caused by an Escherichia coli NDM-1 carbapenemase producer in a 13-month-old boy with DiGeorge syndrome. The infection was managed with surgical debridement and antibiotherapy with aztreonam, ceftazidime-avibactam and IV fosfomycin for 6 weeks. The evolution was favourable, without relapse over 10 weeks of follow-up.
摘要：
耐碳青霉烯的肠杆菌越来越多地被报道并引起医院感染，其中可能包括术后纵隔炎。这里,我们报道了一名患有DiGeorge综合征的13个月男童,由大肠杆菌NDM-1碳青霉烯酶生产者引起的术后纵隔炎.感染通过手术清创和氨曲南的抗生素治疗来管理，头孢他啶-阿维巴坦和静脉注射磷霉素6周。随访10周，进展良好，无复发。
