Descending Necrotizing Mediastinitis in an Infant

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Descending Necrotizing Mediastinitis in an Infant

CASE A nine-month-old girl was brought to the emergency department because of right neck swelling. She had recently been discharged from the same hospital after a brief admission for pneumonia that had followed influenza. The mother denied noticing increased drooling, dyspnea, or stridor. Pooled oral secretions were present on physical exam, but the patient was calm with normal vital signs (Fig...

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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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Descending necrotizing mediastinitis in the elderly patients

Descending Necrotizing Mediastinitis (DNM) is a polymicrobic, dangerous and often fatal process, arising from head or neck infections and spreading along the deep fascial cervical planes, descending into the mediastinum. It can rapidly progress to sepsis and can frequently lead to death. It has a high mortality rate, up to 40% in the different series, as described in the literature. Surgical an...

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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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ژورنال

عنوان ژورنال: Western Journal of Emergency Medicine

سال: 2015

ISSN: 1936-900X,1936-9018

DOI: 10.5811/westjem.2015.1.24926