Descending necrotising mediastinitis: a case report and review of the literature.
نویسنده
چکیده
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.
منابع مشابه
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.
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Descending necrotising mediastinitis due to a neglected esophageal foreign body is uncommon. It is a lethal disease if it develops with full blown clinical picture. A case is reported of descending necrotising mediastinitis caused by a foreign body in oesophagus which is rarely reported in world literature. It is emphasized that prompt diagnosis and aggressive surgical mediastinal drainage is v...
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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 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 کاملDescending Necrotising Mediastinitis: A Case Report Illustrating a Trend in Conservative Management
The mortality rate from descending necrotising mediastinitis (DNM) has declined since its first description in 1938. The decline in mortality has been attributed to earlier diagnosis by way of contrast-enhanced computed tomographic (CT) scanning and aggressive surgical intervention in the form of transthoracic drainage. We describe a case of DNM with involvement of anterior and posterior medias...
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ورودعنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 9 3 شماره
صفحات -
تاریخ انتشار 1995