Case Report
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Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report

Year 2021, Volume: 38 Issue: 4, 675 - 677, 09.10.2021

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

Abstract

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.
There are 9 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Serdar Özdemir 0000-0002-6186-6110

Abdullah Algın 0000-0002-9016-9701

Hatice Şeyma Akça 0000-0003-2823-9577

Mehmet Erdoğan 0000-0001-7325-6646

Publication Date October 9, 2021
Submission Date February 18, 2021
Acceptance Date February 24, 2021
Published in Issue Year 2021 Volume: 38 Issue: 4

Cite

APA Özdemir, S., Algın, A., Akça, H. Ş., Erdoğan, M. (2021). Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report. Journal of Experimental and Clinical Medicine, 38(4), 675-677.
AMA Özdemir S, Algın A, Akça HŞ, Erdoğan M. Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report. J. Exp. Clin. Med. October 2021;38(4):675-677.
Chicago Özdemir, Serdar, Abdullah Algın, Hatice Şeyma Akça, and Mehmet Erdoğan. “Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report”. Journal of Experimental and Clinical Medicine 38, no. 4 (October 2021): 675-77.
EndNote Özdemir S, Algın A, Akça HŞ, Erdoğan M (October 1, 2021) Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report. Journal of Experimental and Clinical Medicine 38 4 675–677.
IEEE S. Özdemir, A. Algın, H. Ş. Akça, and M. Erdoğan, “Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report”, J. Exp. Clin. Med., vol. 38, no. 4, pp. 675–677, 2021.
ISNAD Özdemir, Serdar et al. “Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report”. Journal of Experimental and Clinical Medicine 38/4 (October 2021), 675-677.
JAMA Özdemir S, Algın A, Akça HŞ, Erdoğan M. Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report. J. Exp. Clin. Med. 2021;38:675–677.
MLA Özdemir, Serdar et al. “Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report”. Journal of Experimental and Clinical Medicine, vol. 38, no. 4, 2021, pp. 675-7.
Vancouver Özdemir S, Algın A, Akça HŞ, Erdoğan M. Descending Necrotizing Mediastinitis Due to an Odontogenic Infection: A Case Report. J. Exp. Clin. Med. 2021;38(4):675-7.