Descending necrotizing mediastinitis

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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 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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[Two cases of descending necrotizing mediastinitis].

Descending necrotizing mediastinitis (DNM) is relatively rare inflammatory lesion with high mortality unless an appropriate surgical treatment is undertaken. Recently we successfully treated two surgical cases of DNM. In both cases, the disease started with pharyngeal abscess, and the mediastinal swelling followed. The surgery consisted with neck drainage and the mediastinal drainage through th...

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Descending necrotizing mediastinitis after upper gastrointestinal endoscopy.

An 83−year−old man presented with a 2− week history of intermittent left−sided chest pain. His chest radiograph and elec− trocardiogram were unremarkable, and so upper gastrointestinal endoscopy was performed for screening purposes. The in− tubation and procedure were carried out without difficulty, although the patient gagged occasionally. There was no ob− vious evidence of a site of perforati...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1994

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(94)70453-8