A Case of Descending Necrotizing Mediastinitis Extending from Deep Neck Infection.

• TOMINAGA Mitsuo

  Nagoya University

• MISAWA Hayato

  Nagoya University

• TERANISHI Masaaki

  Nagoya University

• Ito Akihide

  Nagoya University

• HAYASHI Hideo

  Nagoya University

• NAKASHIMA Tsutomu

  Nagoya University

• SUZUKI Toru

  Japanese Red Cross Nagoya First Hospital

Bibliographic Information

Other Title

• 深頚部膿ようから進展の降下性壊死性縦隔炎例

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

  The Society of Practical Otolaryngology

Keywords

• descending necrotizing mediastinitis (DNM)
• deep neck infection
• drainage

Details

• CRID: 1390001204259139968
• NII Article ID: 10008098502
• NII Book ID: AN00107089
• DOI: 10.5631/jibirin.94.1117
• ISSN: 18844545
• ISSN: 00326313
• Web Site: https://search.jamas.or.jp/link/ui/2002105505
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed