A 55-year-old obese man who underwent coronary artery bypass grafting 10 days ago presents with pain and redness at the sternal incision site. In addition to coronary artery disease, he has a history of hypertension. Examination On examination, he appears comfortable. His temperature is 37.5°C Heart rate is 95 beats per minute Blood pressure is 145/90 mm Hg Respiratory rate is 13 breaths per minute. The sternal wound is closed with staples. Approximately 4 cm of erythema surrounds the incision .
A small amount of necrotic tissue is present, and minimal nonpurulent drainage is expressed from the inferior portion of the wound; there is no evidence of deep infection. His leukocyte count is normal. How will you manage this patient? *This patient case is from docplexus editorial team for educative purpose only Source: NEJM The answer is posted in the comment section. click here .
