Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report
Year 2021,
Volume: 38 Issue: 4, 675 - 677, 09.10.2021
Serdar Özdemir
,
Abdullah Algın
,
Hatice Şeyma Akça
,
Mehmet Erdoğan
Abstract
Descending necrotizing mediastinitis a clinical entity formed by the spreading of cervical infection from the dental and oropharyngeal structures through the deep cavities between the deep fascia on the neck to the mediastinum, pleural and pericardial spaces with necrosis of soft tissue and has a high mortality. Herein we present the case of a 73-year-old admitted to emergency department with septic clinic. the patient was diagnosed with descending necrotizing mediastinitis due to odontogenic infection. although sternal irrigation, sternal debridement and mediastinal drainage were performed patient was died postoperative third day.
References
- 1- Deu-Martín M, Saez-Barba M, Sanz IL, Peñarrocha RA, Vielva LR, Montserrat MR. Mortality risk factors in descending necrotising mediastinitis. Arch Bronconeumol 2010;46(4):182-187.
- 2- Pastene B, Cassir N, Tankel J, Einav S, Fournier PE, Thomas P, Leone M. Mediastinitis in the intensive care unit patient: a narrative review. Clin Microbiol Infect 2020;26(1):26-34.
- 3- Pearse HE. Mediastinitis Following Cervical Suppuration. Ann Surg 1938;108(4):588-611.
- 4- Endo S, Murayama F, Hasegawa T, Yamamoto S, Yamaguchi T, Sohara Y, et al. Guideline of surgical management based on diffusion of descending necrotizing mediastinitis Jpn J Thorac Cardiovasc Surg. 1999;47(1):14-19.
- 5- Exarhos DN, Malagari K, Tsatalou EG, Benakis SV, Peppas C, Kotanidou A, et al. Acute mediastinitis: spectrum of computed tomography findings. Eur Radiol. 2005;15(8):1569-74.
- 6- B Erdogan, MO Erdogan, S Colak, O Kibici, K Bozan, B Alper. An isolated hyoid bone fracture caused by blunt trauma to the neck. J Pak Med Assoc 2015;65 (11): 1233-1234.
- 7- Palma DM, Giuliano S, Cracchiolo AN, Falcone M, Ceccarelli G, Tetamo R, et al. Clinical features cases. Infection. 2016;44 (1):77-84.
- 8- Prado-Calleros HM, Jiménez-Fuentes E, Jiménez-Escobar I. Descending necrotizing mediastinitis: Systematic review on its treatment in the last 6 years, 75 years after its description. Head Neck 2016;38(Supp l):E2275-83.
- 9- Gunaratne DA, Tseros EA, Hasan Z, Kudpaje AS, Suruliraj A, Smith MC, et al. Cervical necrotizing fasciitis: Systematic review and analysis of 1235 reported cases from the literature. Head Neck. 2018;40(9):2094-2102.
Year 2021,
Volume: 38 Issue: 4, 675 - 677, 09.10.2021
Serdar Özdemir
,
Abdullah Algın
,
Hatice Şeyma Akça
,
Mehmet Erdoğan
References
- 1- Deu-Martín M, Saez-Barba M, Sanz IL, Peñarrocha RA, Vielva LR, Montserrat MR. Mortality risk factors in descending necrotising mediastinitis. Arch Bronconeumol 2010;46(4):182-187.
- 2- Pastene B, Cassir N, Tankel J, Einav S, Fournier PE, Thomas P, Leone M. Mediastinitis in the intensive care unit patient: a narrative review. Clin Microbiol Infect 2020;26(1):26-34.
- 3- Pearse HE. Mediastinitis Following Cervical Suppuration. Ann Surg 1938;108(4):588-611.
- 4- Endo S, Murayama F, Hasegawa T, Yamamoto S, Yamaguchi T, Sohara Y, et al. Guideline of surgical management based on diffusion of descending necrotizing mediastinitis Jpn J Thorac Cardiovasc Surg. 1999;47(1):14-19.
- 5- Exarhos DN, Malagari K, Tsatalou EG, Benakis SV, Peppas C, Kotanidou A, et al. Acute mediastinitis: spectrum of computed tomography findings. Eur Radiol. 2005;15(8):1569-74.
- 6- B Erdogan, MO Erdogan, S Colak, O Kibici, K Bozan, B Alper. An isolated hyoid bone fracture caused by blunt trauma to the neck. J Pak Med Assoc 2015;65 (11): 1233-1234.
- 7- Palma DM, Giuliano S, Cracchiolo AN, Falcone M, Ceccarelli G, Tetamo R, et al. Clinical features cases. Infection. 2016;44 (1):77-84.
- 8- Prado-Calleros HM, Jiménez-Fuentes E, Jiménez-Escobar I. Descending necrotizing mediastinitis: Systematic review on its treatment in the last 6 years, 75 years after its description. Head Neck 2016;38(Supp l):E2275-83.
- 9- Gunaratne DA, Tseros EA, Hasan Z, Kudpaje AS, Suruliraj A, Smith MC, et al. Cervical necrotizing fasciitis: Systematic review and analysis of 1235 reported cases from the literature. Head Neck. 2018;40(9):2094-2102.