Optimal treatment of descending necrotising mediastinitis
نویسندگان
چکیده
منابع مشابه
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...
متن کاملFatal case of descending necrotising mediastinitis.
Sato R, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221050 Description A 56-year-old man presented with a 4-day history of fever and sore throat followed by 1 day of wheezing. On examination, he appeared in acute distress. The blood pressure was 129/76 mm Hg, the pulse was 88 per min, the respiratory rate was 22 per min and the temperature was 38.2°C. Auscultation over the upper airway area ...
متن کاملDiagnosis and treatment of acute descending necrotising mediastinitis caused by pediatric oropharyngeal trauma
Acute descending necrotizing mediastinitis (ADNM) is an acute necrotizing infection in which oropharyngeal infection descends and involves the mediastinum, causing respiratory distress and sepsis. This paper reports the successful remedy of an ADNM case caused by oropharyngeal trauma in a 2-year-old child. Timely treatment, including abscess drainage in the chest, adequate application of broad-...
متن کاملSurgical treatment of virulent descending necrotizing mediastinitis.
We report a 58-year-old male treated with surgical drainage by mediansternotomy using a pedicled omental flap for descending necrotizing mediastinitis (DNM). The patient recovered from DNM after five months of mechanical respiratory support. In deciding upon the most appropriate surgical approach for mediastinal drainage, the level of infection is a good landmark and should be investigated by C...
متن کاملDescending necrotising mediastinitis: a case report and review of the literature.
We report a case of descending necrotising mediastinitis complicating an oropharyngeal infection in a 25-year-old male. The clinical presentation, the diagnosis and the management of this rare disease and its complications are discussed in this case report with a brief review of the literature.
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ژورنال
عنوان ژورنال: Thorax
سال: 1997
ISSN: 0040-6376
DOI: 10.1136/thx.52.8.702