Descending necrotizing mediastinitis: report of a case

A 47-year-old man was admitted to our hospital for treatment of an odontogenic infection. He presented with a fever, signs of sepsis, and neck swelling, and was initially diagnosed as having a neck abscess. After cervical drainage, he showed no improvement, and mediastinitis was detected by chest X-...

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Bibliographic Details
Published inSurgery today (Tokyo, Japan) Vol. 29; no. 11; pp. 1209 - 1212
Main Authors Iyoda, A, Yusa, T, Fujisawa, T, Mabashi, T, Hiroshima, K, Ohwada, H
Format Journal Article
LanguageEnglish
Published Japan 01.01.1999
Subjects
Drainage - methods
Focal Infection, Dental - complications
Focal Infection, Dental - diagnosis
Focal Infection, Dental - surgery
Follow-Up Studies
Humans
Male
Mediastinitis - diagnosis
Mediastinitis - etiology
Mediastinitis - pathology
Mediastinitis - surgery
Middle Aged
Necrosis
Streptococcal Infections - complications
Streptococcal Infections - diagnosis
Streptococcal Infections - surgery
Thoracotomy - methods
Tooth Extraction - adverse effects
Treatment Outcome
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Summary:A 47-year-old man was admitted to our hospital for treatment of an odontogenic infection. He presented with a fever, signs of sepsis, and neck swelling, and was initially diagnosed as having a neck abscess. After cervical drainage, he showed no improvement, and mediastinitis was detected by chest X-ray and computed tomography. A thoracotomy and mediastinal drainage was subsequently performed for descending necrotizing mediastinitis, which resulted in marked improvement. To date, only 83 cases of descending necrotizing mediastinitis have been reported in Japan. We present herein an additional case, followed by a review of the Japanese literature.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0941-1291
1436-2813
DOI:10.1007/BF02482275