We report what may be the first documented case of an anterior mediastinal abscess due to infection by Actinobacillus actinomycetemcomitans. This small, fastidious Gram-negative coccobacillus is a normal component of the oral flora of healthy individuals,' but rarely a human pathogen. It was first described in 1912 by Klinger2 in association with actinomycosis and has since been identified as t...

The majority of retropharyngeal hematomas described in the literature have been associated with anticoagulation therapy, tumors, aneurysm, infection or cervical spine injury. We present a case of a 55-year-old African American female with acute chest pain, sore throat, and dysphagia. Her past medical history was significant for uncontrolled hypertension and cervical spine arthritis. Physical ex...

We present a case of an unusual infectious complication of a ruptured mediastinal abscess after endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), which led to malignant pleural effusion in a patient with stage IIIA non-small-cell lung cancer. EBUS-TBNA was performed in a 48-year-old previously healthy male, and a mediastinal abscess developed at 4 days post-procedure...

A previously healthy 9-month-old boy presented to the emergency department with 4 days of daily fevers as high as 39.1°C rectally. Parents reported that he was increasingly difficult to console for the previous several days. Although not initially reported, after the diagnosis was made, the parents reported occasional tactile fever and difficulty sleeping, particularly when lying prone, over th...

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...