Mediastinitis and bilateral pleural empyema caused by an odontogenic infection

Diffuse descending necrotising mediastinitis and pleural empyema secondary to acute odontogenic infection resulting in severe dysphagia.

We report a case of acute odontogenic sepsis in a 59-year-old man, presenting with diffuse, descending necrotising mediastinitis complicated by pleural empyema. Despite surviving the odds, his recovery was complicated by severe dysphagia, resulting in gastrostomy feeding for 6 months. Until now, severe dysphagia following descending necrotising mediastinitis has been unreported.

Pleural Infection and Empyema

Increasing incidence of pleural infection has been reported worldwide in recent decades. The pathogens responsible for pleural infection are changing and differ from those in community acquired pneumonia. The main treatments for pleural infection are antibiotics and drainage of infected pleural fluid. The efficacy of intrapleural fibrinolytics remains unclear, although a recent randomized contr...

Mycotic aortic aneurysm probably caused by a pleural empyema.

Hybrid therapy of late diagnosed esophageal perforation, complicated by mediastinitis and bilateral empyema.

An 81-year-old man was admitted to our hospital with clinical deterioration 6 days after diagnostic gastroscopy. Computed tomography (CT) scan showed distal esophageal perforation, bilateral empyema, and a contrast leak into the right pleural cavity (▶Fig. 1). Bilateral video-assisted thoracoscopy was performed, evacuating the empyema, debriding the pleural spaces, and incising the mediastinal ...

A case of descending necrotizing mediastinitis and Lemierre’s syndrome associated with an odontogenic infection

Introduction: Descending necrotizing mediastinitis is a rare complication of odontogenic infections, with a high mortality rate despite the advent of antibiotics. case report: An otherwise well 37-year-old male presented with descending necrotizing mediastinitis secondary to a mandibular second molar infection. He required prolonged targeted antibiotic treatment, extensive oral, neck and thorac...