Back to Search Start Over

Iatrogenic mediastinitis in bronchiolitis: Importance of avoiding pharyngeal aspiration.

Authors :
Le Roch, M.
Thebault, E.
Beaudoin, S.
Rubinsztajn, R.
Chevallier, B.
Tavière, V.
Benoist, G.
Source :
Archives de Pédiatrie. Jul2019, Vol. 26 Issue 5, p295-297. 3p.
Publication Year :
2019

Abstract

An 11-month-old infant was hospitalized for his first episode of severe bronchiolitis, with pneumomediastinum on the chest x-ray performed in the emergency room before hospitalization. After a few days, the occurrence of a feverish torticollis motivated a CT scan, revealing mediastinitis. An iatrogenic perforation was objectified in the posterior wall of the esophagus, probably caused by nasopharyngeal aspiration. This exceptional case has never been reported before, except in premature infants. This encouraged us to report this case to change systematic aspiration practices and prefer nasal suctioning in healthy infants with bronchiolitis presenting to the emergency department. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
0929693X
Volume :
26
Issue :
5
Database :
Academic Search Index
Journal :
Archives de Pédiatrie
Publication Type :
Academic Journal
Accession number :
137663173
Full Text :
https://doi.org/10.1016/j.arcped.2019.05.009