Descending necrotizing mediastinitis with Lemierre’s syndrome

• Published in: General thoracic and cardiovascular surgery Vol. 65; no. 11; pp. 661 - 663
• Main Authors: Kaiho, Taisuke, Nakajima, Takahiro, Yonekura, Shuji, Hamasaki, Sawako, Iwata, Takekazu, Yoshino, Ichiro
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01.11.2017; Springer Nature B.V
• Subjects: Abscesses; Anti-Bacterial Agents - therapeutic use; Antibiotics; Anticoagulants; Cardiac Surgery; Cardiology; Case Report; Conflicts of interest; Drainage - methods; Female; Humans; Infections; Lemierre Syndrome - complications; Lemierre Syndrome - diagnosis; Mediastinitis - diagnosis; Mediastinitis - microbiology; Mediastinitis - therapy; Medical imaging; Medicine; Medicine & Public Health; Middle Aged; Mortality; Neck; Necrosis; Ostomy; Patients; Pleural effusion; Pulmonary embolisms; Sinuses; Streptococcal Infections - diagnosis; Streptococcal Infections - microbiology; Streptococcal Infections - therapy; Streptococcus constellatus - isolation & purification; Surgical Oncology; Thoracic Surgery; Thrombosis; Tomography, X-Ray Computed; Veins & arteries; Descending necrotizing mediastinitis; Septic pulmonary embolization; Lemierre’s syndrome

Descending necrotizing mediastinitis is a severe infection of the mediastinum. Lemierre’s syndrome manifests as thrombophlebitis in the cervical veins, which is caused by a neck infection. A 50-year-old woman had a fever with a 13-day history of neck pain. CT showed a deep neck abscess with vertebra...