MEDIASTINITIS FOLLOWING CERVICAL SUPPURATION

IN TRACRANIAL SUPPURATION FOLLOWING NEUROSURGICAL PROCEDURES DUE TO BRUCELLA SPECIES

Reported here are two cases of delayed postsurgical brucella abscess within the cranium, treated successfully by reoperation and appropriate medical therapy. Both patients had an occupational exposure to the pathogenic organism. Systemic symptoms of brucellosis became manifest postoperatively in case I and were present in case II long before operation. The diagnosis was confirmed by serolog...

Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage.

Descending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection treated successfully with tooth extraction following mediastinal and cervical drainage. A 43-year-ol...

Mediastinitis and sepsis syndrome following intubation.

A patient developed sepsis syndrome with shock 7 h after an anaesthetic for a shoulder replacement. Tracheal intubation had been difficult and required the use of a stylet and gum-elastic bougies. A gastrografin swallow subsequently demonstrated an oesophageal perforation and mediastinitis was diagnosed at surgical exploration. She survived after a prolonged period of intensive care treatment.

Intracranial Suppuration

Mastoid Suppuration without Tympanic Perforation and Suppuration