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Descending necrotizing mediastinitis
Descending necrotizing mediastinitis (DNM) is a rare but severe life threatening complication of oropharyngeal infections. We report a young lady who had severe pharyngitis complicated by anterior neck infection that descended to the mediastinum causing necrotizing mediastinitis. The course of her i...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Saudi Medical Journal
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362155/ https://www.ncbi.nlm.nih.gov/pubmed/25228187 |
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author | Elsahy, Taha G. Alotair, Hadil A. Alzeer, Abdulaziz H. Al-Nassar, Sami A. |
author_facet | Elsahy, Taha G. Alotair, Hadil A. Alzeer, Abdulaziz H. Al-Nassar, Sami A. |
author_sort | Elsahy, Taha G. |
collection | PubMed |
description | Descending necrotizing mediastinitis (DNM) is a rare but severe life threatening complication of oropharyngeal infections. We report a young lady who had severe pharyngitis complicated by anterior neck infection that descended to the mediastinum causing necrotizing mediastinitis. The course of her illness was complicated with septic shock, acute kidney injury, tracheo-esophageal fistula, and critical illness polyneuropathy. There was considerable delay in her diagnosis; however, she survived after aggressive surgical intervention, wide spectrum antibiotics, and appropriate intensive care management. Early and repeated chest imaging using computed tomography was vital for the detection and follow up of this case. There is a need to increase physicians’ awareness of this condition that can complicate odontogentic or pharyngeal infection, procedures, or trauma. |
format | Online Article Text |
id | pubmed-4362155 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Saudi Medical Journal |
record_format | MEDLINE/PubMed |
spelling | pubmed-43621552015-03-19 Descending necrotizing mediastinitis Elsahy, Taha G. Alotair, Hadil A. Alzeer, Abdulaziz H. Al-Nassar, Sami A. Saudi Med J Case Report Descending necrotizing mediastinitis (DNM) is a rare but severe life threatening complication of oropharyngeal infections. We report a young lady who had severe pharyngitis complicated by anterior neck infection that descended to the mediastinum causing necrotizing mediastinitis. The course of her illness was complicated with septic shock, acute kidney injury, tracheo-esophageal fistula, and critical illness polyneuropathy. There was considerable delay in her diagnosis; however, she survived after aggressive surgical intervention, wide spectrum antibiotics, and appropriate intensive care management. Early and repeated chest imaging using computed tomography was vital for the detection and follow up of this case. There is a need to increase physicians’ awareness of this condition that can complicate odontogentic or pharyngeal infection, procedures, or trauma. Saudi Medical Journal 2014 /pmc/articles/PMC4362155/ /pubmed/25228187 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Elsahy, Taha G. Alotair, Hadil A. Alzeer, Abdulaziz H. Al-Nassar, Sami A. Descending necrotizing mediastinitis |
title | Descending necrotizing mediastinitis |
title_full | Descending necrotizing mediastinitis |
title_fullStr | Descending necrotizing mediastinitis |
title_full_unstemmed | Descending necrotizing mediastinitis |
title_short | Descending necrotizing mediastinitis |
title_sort | descending necrotizing mediastinitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362155/ https://www.ncbi.nlm.nih.gov/pubmed/25228187 |
work_keys_str_mv | AT elsahytahag descendingnecrotizingmediastinitis AT alotairhadila descendingnecrotizingmediastinitis AT alzeerabdulazizh descendingnecrotizingmediastinitis AT alnassarsamia descendingnecrotizingmediastinitis |