Back to Search
Start Over
Descending necrotising mediastinitis: two case reports and review of the literature
- Source :
- European Respiratory Review, Vol 19, Iss 116, Pp 141-149 (2010), Eur Respir Rev
- Publication Year :
- 2010
- Publisher :
- European Respiratory Society (ERS), 2010.
-
Abstract
- Descending necrotising mediastinitis is a rare and serious infection with a high mortality rate, which complicates pharyngeal or odontogenic infection. Early recognition and treatment are essential in order to minimise morbidity. Evaluation with computed tomography is necessary to confirm the diagnosis and facilitate surgical planning. In addition to prompt empirical antiobiotic therapy, surgical intervention is necessary in nearly all cases. Surgical drainage and debridement may be performed through cervicotomy alone, or through combined cervicotomy and thoracotomy, depending upon the extent of disease. Hyperbaric oxygen therapy may play an auxiliary role. We present two recent cases with characteristic imaging findings, and review the relevant literature.
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
medicine.medical_treatment
Reviews
Computed tomography
Surgical planning
Empirical antibiotic therapy
Necrosis
Streptococcal Infections
Humans
Medicine
Thoracotomy
lcsh:RC705-779
Odontogenic infection
Debridement
medicine.diagnostic_test
business.industry
Mortality rate
lcsh:Diseases of the respiratory system
Middle Aged
medicine.disease
Respiration, Artificial
Mediastinitis
Surgery
Streptococcus intermedius
Tomography, X-Ray Computed
business
mediastinitis
Subjects
Details
- ISSN :
- 16000617 and 09059180
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- European Respiratory Review
- Accession number :
- edsair.doi.dedup.....a9da8172d4e0fabf6f319c3bb5746ef8