Descending mediastinitis: a review

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Descending necrotizing mediastinitis

Descending necrotizing mediastinitis (DNM) is a rare but severe life threatening complication of oropharyngeal infections. We report a young lady who had severe pharyngitis complicated by anterior neck infection that descended to the mediastinum causing necrotizing mediastinitis. The course of her illness was complicated with septic shock, acute kidney injury, tracheo-esophageal fistula, and cr...

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Retrospective Review of Management and Outcomes of Pediatric Descending Mediastinitis.

OBJECTIVES To review the management and outcomes of pediatric patients treated for descending mediastinitis at a single institution and contribute to an updated mortality rate. STUDY DESIGN Case series with chart review. SETTING Tertiary care pediatric hospital. SUBJECTS AND METHODS This study is a 19-patient case series of all patients treated for descending mediastinitis at a tertiary p...

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Descending necrotizing mediastinitis complicating hyperimmunoglobulin E syndrome

Descending necrotizing mediastinitis (DNM) is a potentially lethal disease that originates from a deep neck infection (DNI); it is often associated with an immunocompromised state. Hyperimmunoglobulin E syndrome (HIES) is an extremely rare complex immune deficiency characterized by recurrent abscesses of staphylococcal etiology. A rare case of a 34-year-old woman wherein HIES putatively promote...

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[Surgical management of descending necrotizing mediastinitis].

INTRODUCTION Descending necrotizing mediastinitis (DNM) is a serious infection which occurs as a complication of oropharyngeal infection. Its surgical management and the routine transthoracic approach remain controversial. In this article we report our experience in the management of this disease, and review the different surgical approaches that have been reported in the medical literature. ...

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Optimal treatment of descending necrotising mediastinitis.

BACKGROUND Descending necrotising mediastinitis is caused by downward spread of neck infection and has a high fatality rate of 31%. The seriousness of this infection is caused by the absence of barriers in the contiguous fascial planes of neck and mediastinum. METHODS The recent successful treatment of seven adult patients with descending necrotising mediastinitis emphasises the importance of...

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ژورنال

عنوان ژورنال: Sao Paulo Medical Journal

سال: 2006

ISSN: 1516-3180

DOI: 10.1590/s1516-31802006000500011