A 45 year old man, intravenous drug user, without history of systemic illness, presented with fever, chills and an anterior left thorax pulsatile mass. Echocardiogram showed an anterior mediastinal fluid collection with no apparent pericardial communication and without evidence of endocarditis. Chest tomography revealed a large left anterior mediastinal abscess with multiple pulmonary abscesses...

BACKGROUND Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a useful and less invasive procedure for the definitive diagnosis of mediastinal and hilar lymph nodes. However, infectious complications can occur after EBUS-TBNA, although they are extremely rare. CASE PRESENTATION A 66-year-old man with necrotic and swollen lower paratracheal lymph nodes underwent EB...

Descending necrotizing mediastinitis (DNM) is relatively rare inflammatory lesion with high mortality unless an appropriate surgical treatment is undertaken. Recently we successfully treated two surgical cases of DNM. In both cases, the disease started with pharyngeal abscess, and the mediastinal swelling followed. The surgery consisted with neck drainage and the mediastinal drainage through th...

uncommon, but there are few case reports of cavitary pulmonary Hodgkin’s disease mimicking as lung abscess or necrotizing pneumonia. In this report, we describe a case of pulmonary Hodgkin’s lymphoma presenting as a large cavitary lesion with air-fluid levels in the right lower lobe mimicking as lung abscess or necrotizing pneumonia. The patient showed right lower tracheal and right hilar lymph...

We report a case of anterior mediastinal abscess treated by percutaneous drainage under computed tomography (CT) guidance. The relationships of the abscess to the adjacent organs were clearly delineated by an intravenous injection of contrast material, and the drain was inserted between the sternum and the vasa thoracica interna. Selection of this route and the choice of a large-bore catheter (...

Descending necrotizing mediastinitis is a rare disease that is usually caused by a spreading, diffuse inflammatory reaction (phlegmon) to an odontogenic infection or peritonsillar abscess. Reported mortality rates range from 25 to 40%. The use of antibiotics and advances in resuscitation procedures and critical care techniques have not essentially improved survival, and an effective treatment h...