Cargando…
Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage
Descending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection tre...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4649729/ https://www.ncbi.nlm.nih.gov/pubmed/26600767 http://dx.doi.org/10.1159/000441386 |
_version_ | 1782401405263282176 |
---|---|
author | Fukuchi, Minoru Suzuki, Okihide Nasu, Daisuke Koizumi, Kazue Muta, Yu Imaizumi, Hideko Ishiguro, Toru Kumagai, Youichi Ishibashi, Keiichiro Mochiki, Erito Ishida, Hideyuki |
author_facet | Fukuchi, Minoru Suzuki, Okihide Nasu, Daisuke Koizumi, Kazue Muta, Yu Imaizumi, Hideko Ishiguro, Toru Kumagai, Youichi Ishibashi, Keiichiro Mochiki, Erito Ishida, Hideyuki |
author_sort | Fukuchi, Minoru |
collection | PubMed |
description | Descending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection treated successfully with tooth extraction following mediastinal and cervical drainage. A 43-year-old, previously healthy Japanese man was admitted to our hospital for treatment of acute mediastinitis. Computed tomography revealed gas collection around the mid-thoracic esophagus and bilateral pleural effusion. We performed mediastinal drainage via right thoracotomy. Cervicotomy was performed on postoperative day 14 to drain a residual cervical abscess. The patient required the extraction of ten teeth over three procedures to address primary odontogenic infection before his fever resolved on postoperative day 40. Prompt diagnosis, aggressive drainage and removal of the source of infection can improve survival among patients with this life-threatening disease. |
format | Online Article Text |
id | pubmed-4649729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-46497292015-11-23 Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage Fukuchi, Minoru Suzuki, Okihide Nasu, Daisuke Koizumi, Kazue Muta, Yu Imaizumi, Hideko Ishiguro, Toru Kumagai, Youichi Ishibashi, Keiichiro Mochiki, Erito Ishida, Hideyuki Case Rep Gastroenterol Published online: October 2015 Descending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection treated successfully with tooth extraction following mediastinal and cervical drainage. A 43-year-old, previously healthy Japanese man was admitted to our hospital for treatment of acute mediastinitis. Computed tomography revealed gas collection around the mid-thoracic esophagus and bilateral pleural effusion. We performed mediastinal drainage via right thoracotomy. Cervicotomy was performed on postoperative day 14 to drain a residual cervical abscess. The patient required the extraction of ten teeth over three procedures to address primary odontogenic infection before his fever resolved on postoperative day 40. Prompt diagnosis, aggressive drainage and removal of the source of infection can improve survival among patients with this life-threatening disease. S. Karger AG 2015-10-13 /pmc/articles/PMC4649729/ /pubmed/26600767 http://dx.doi.org/10.1159/000441386 Text en Copyright © 2015 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Published online: October 2015 Fukuchi, Minoru Suzuki, Okihide Nasu, Daisuke Koizumi, Kazue Muta, Yu Imaizumi, Hideko Ishiguro, Toru Kumagai, Youichi Ishibashi, Keiichiro Mochiki, Erito Ishida, Hideyuki Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
title | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
title_full | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
title_fullStr | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
title_full_unstemmed | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
title_short | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
title_sort | descending necrotizing mediastinitis treated with tooth extractions following mediastinal and cervical drainage |
topic | Published online: October 2015 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4649729/ https://www.ncbi.nlm.nih.gov/pubmed/26600767 http://dx.doi.org/10.1159/000441386 |
work_keys_str_mv | AT fukuchiminoru descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT suzukiokihide descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT nasudaisuke descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT koizumikazue descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT mutayu descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT imaizumihideko descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT ishigurotoru descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT kumagaiyouichi descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT ishibashikeiichiro descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT mochikierito descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage AT ishidahideyuki descendingnecrotizingmediastinitistreatedwithtoothextractionsfollowingmediastinalandcervicaldrainage |