Unusual case of exacerbation of sub-acute descending necrotizing mediastinitis.

Abstract:

:Descending necrotizing mediastinitis is a life-threatening complication of an oropharyngeal infection that requires prompt and aggressive medical and surgical therapy. Herein, we report unusual case of man suffering of sub-acute mediastinal infection due to odontoiatric abscess which exacerbated at 3 months after its first presentation. Chest X-ray and CT scan demonstrated soft-tissue swelling of the neck and encapsulated fluid collections with gas bubbles within anterior mediastinum, especially on the right side. Bilateral anterior neck dissections were performed and blunt dissection, irrigation and debridement were carried out to several centimetres below the sternal manubrium. Then, right standard thoracotomy was performed with debridement of the anterior mediastinum. Four tubes were placed in the mediastinum and pleural cavity on the right side, and two tubes were placed in the left thoracic cavity. Follow-up CT scans of neck and chest showed the resolution of infection.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Di Crescenzo V,Laperuta P,Napolitano F,Carlomagno C,Danzi M,Amato B,Garzi A,Vitale M

doi

10.1186/1471-2482-13-S2-S31

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

S31

issn

1471-2482

pii

1471-2482-13-S2-S31

journal_volume

13 Suppl 2

pub_type

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