深頸部膿瘍から進展の降下性壊死性縦隔炎例  [in Japanese] A Case of Descending Necrotizing Mediastinitis Extending from Deep Neck Infection  [in Japanese]

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Author(s)

Abstract

We report a 34-year-old female with deep neck infection extending into disseminated intravascular coagulation (DIC), septic shock, and descending necrotizing mediastinitis (DNM). The origin of infection was right mandibular dental caries. The patient was successfully treated with antibiotics, steroids, γ-globulin, and emergency surgical treatment. The surgery consisted of cervical drainage and mediastinal drainage without thoracostomy. Continuous irrigation was performed after the operation in the intensive care unit. DNM is recently a rare inflammatory lesion due to the development of antibiotics. Due to the difficulty of detecting the disorder, it takes a serious clinical course even if intensive care is given. For the diagnosis of DNM, it is necessary to check a chest X-ray film and a computed tomography scan of the mediastinum. Once a diagnosis is established, it is essential to perform adequate surgical drainage immediately and begin intensive systemic care.

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 94(12), 1117-1122, 2001-12-01

    The Society of Practical Otolaryngology

References:  15

Cited by:  7

Codes

  • NII Article ID (NAID)
    10008098502
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00326313
  • DOI
    10.5631/jibirin.94.1117
  • Data Source
    CJP  CJPref  J-STAGE 
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