Iatrogenic mediastinitis in bronchiolitis: Importance of avoiding pharyngeal aspiration
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 iatroge...
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Published in | Archives de pédiatrie : organe officiel de la Société française de pédiatrie Vol. 26; no. 5; pp. 295 - 297 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
France
Elsevier Masson SAS
01.07.2019
Elsevier |
Subjects | |
Online Access | Get full text |
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Summary: | 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. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 0929-693X 1769-664X |
DOI: | 10.1016/j.arcped.2019.05.009 |