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Mycobacterium Chimaera: Clinical and medico-legal considerations starting from a case of sudden acoustic damage
Institution:1. Legal Medicine, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University – Hospital of Padova, Via Falloppio 50, 35121 Padua, Italy;2. Legal Medicine, Department of Molecular Medicine, University-Hospital of Padova, Via Falloppio 50, 35121 Padova, Italy;1. Department of Medicine, McGill University and the McGill International TB Centre, Montreal, Canada;2. UCD School of Veterinary Medicine and UCD Conway Institute, University College Dublin, Dublin, Ireland;1. Disciplina de Neurociência, Escola Paulista de Medicina/Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil;2. Programa de Estudos Pós-Graduado em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo (PUC-SP), Departamento de Fonoaudiologia, Escola Paulista de Medicina/Universidade Federal de São Paulo (EPM/UNIFESP), São Paulo, Brazil;3. Krankenanstalt Rudolfstiftung, Vienna, Austria;1. Division of Forensic Medicine and Toxicology, Level 1, Falmouth Building, University of Cape Town Faculty of Health Sciences, Observatory, Cape Town 7925, South Africa;2. Division of Anatomical Pathology, Level 4, Falmouth Building, University of Cape Tow Faculty of Health Sciences, Observatory, Cape Town 7925, South Africa;1. Department of Forensic Medicine, Medical College of Soochow University, Suzhou, China;2. Department of Epidemiology, Medical College of Soochow University, Suzhou, China;3. Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, China;1. Mater Hospital, Raymond Terrace, South Brisbane, Australia;2. University of Queensland, Mater Clinical School, Raymond Terrace, South Brisbane, Australia;3. Infection Management Services, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Australia;4. Mater Medical Research Institute, Brisbane, Australia;5. School of Medicine, University of Queensland, Australia;6. Queensland Mycobacterium Reference Laboratory, Pathology Queensland, Herston, Queensland, Australia
Abstract:Mycobacterium Chimaera is a microorganism that can cause nosocomial infections particularly in patients undergoing cardiac surgery. The specific case presented herein shows an original clinical presentation of the infection: sudden unilateral deafness as a result of septic embolization. Medico-legal experts appointed by the court in a civil liability dispute analyzed the case and submitted their expert opinion. This article analyzes the peculiar and innovative aspect of professional liability that can be attributed to the healthcare facility and the manufacturer of the equipment used in the operating room from a medical-legal point of view.
Keywords:Mycobacterium Chimaera  Cardiac surgery  Medical liability  Medico legal assessment
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