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...

Mycoplasma hominis is commonly involved in genitourinary tract infections. We report a 59-year-old man who developed a M. hominis-associated mediastinitis following acute tonsillar infection.

BACKGROUND Deep sternal wound infection and mediastinitis determine high in-hospital mortality. International studies show that these patients are also at increased cardiovascular mortality risk in long-term follow-up. However, data are scarce and there is no national data. OBJECTIVES The aim of this study is to evaluate the mortality and incidence of cardiovascular events in long-term follow...

Superior vena caval obstruction has been alleged to be caused by a wide variety of pathological conditions, some rather common and specific while others are relatively rare and indeterminate as to etiology. This troublesome syndrome was first described clinically by William Hunter 200 years ago according to McCord et al.1 In their excellent review, Mclntire and Sykes2 cite that Fischer’s series...

relatively easy to deploy, with a high technical success rate, and provide rapid relief of dysphagia [1], which is the major factor affecting quality of life in patients not suitable for resection. Since Domschke et al. first reported the use of SEMS in 1990 [2], the technique has been widely used for malignant esophageal stenosis [3], although there have been many reports of complications asso...

Hunter' was the first to report a case of superior vena cava obstruction. Ehlrich2 et al. and McIntire and Sykes3 have extensively reviewed the world literature. Obstruction of the superior vena cava due to primary endothoracic malignant tumours or aneurysm is not uncommon, accounting for 94 per cent. of our cases, but benign lesions causing obstruction of this vessel are rare Oschner and Dixon...

Descending necrotizing mediastinitis secondary to a nontraumatic retropharyngeal abscess is very rare. This form of mediastinitis in the era of potent antibiotics often ends up with lethal outcome. It usually occurs in immunocompromised patients and requires intensive multidisciplinary treatment approach. We report a case of nontraumatic retropharyngeal abscess complicated by descending necroti...

Background. Mediastinitis is one of the dreaded complications post cardiac surgery resulting in high mortality rates (10% to 47%) and increased length of hospital stay and hospital costs. Thus far, no studies have described the management or outcomes of postoperative mediastinitis infections caused by carbapenem-resistant Enterobacteriaceae(CRE) resistant to polymyxins. Methods. We conducted a ...

BACKGROUND Since its introduction in the early 1980s, percutaneous endoscopic gastrostomy has become the most popular method for performing a gastrostomy for long-term enteral feeding. It has been associated, however, with a lot of minor and major complications. CASE PRESENTATION A case of mediastinitis with concominant sepsis caused by a masked esophageal perforation after percutaneous endos...