Cargando…
Necrotizing Mediastinitis Following Dental Extraction: A Case Report
INTRODUCTION: Necrotizing mediastinitis is a rare complication following a dental procedure. It is frequently lethal and requires prompt diagnosis with advanced imaging, administration of broad-spectrum antimicrobials, and early surgical consultation. CASE REPORT: A 19-year-old, otherwise healthy ma...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885237/ https://www.ncbi.nlm.nih.gov/pubmed/35226847 http://dx.doi.org/10.5811/cpcem.2021.11.54567 |
_version_ | 1784660360863678464 |
---|---|
author | Pinkston, Justin Khoury, Charles A. Raper, Jaron D. |
author_facet | Pinkston, Justin Khoury, Charles A. Raper, Jaron D. |
author_sort | Pinkston, Justin |
collection | PubMed |
description | INTRODUCTION: Necrotizing mediastinitis is a rare complication following a dental procedure. It is frequently lethal and requires prompt diagnosis with advanced imaging, administration of broad-spectrum antimicrobials, and early surgical consultation. CASE REPORT: A 19-year-old, otherwise healthy male presented to the emergency department with chest pain, muffled voice, and facial and neck swelling six days following dental extraction. He was found to have a retropharyngeal abscess causing necrotizing mediastinitis and septic shock. The patient was started on broad-spectrum antimicrobials, required 10 surgical procedures, and experienced a prolonged hospitalization. CONCLUSION: Consider necrotizing mediastinitis in patients presenting with chest pain and signs of retropharyngeal infection after dental procedures. Prompt imaging, antimicrobial therapy, and surgical consultation is critical in treating this frequently fatal disease. |
format | Online Article Text |
id | pubmed-8885237 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-88852372022-03-01 Necrotizing Mediastinitis Following Dental Extraction: A Case Report Pinkston, Justin Khoury, Charles A. Raper, Jaron D. Clin Pract Cases Emerg Med Case Report INTRODUCTION: Necrotizing mediastinitis is a rare complication following a dental procedure. It is frequently lethal and requires prompt diagnosis with advanced imaging, administration of broad-spectrum antimicrobials, and early surgical consultation. CASE REPORT: A 19-year-old, otherwise healthy male presented to the emergency department with chest pain, muffled voice, and facial and neck swelling six days following dental extraction. He was found to have a retropharyngeal abscess causing necrotizing mediastinitis and septic shock. The patient was started on broad-spectrum antimicrobials, required 10 surgical procedures, and experienced a prolonged hospitalization. CONCLUSION: Consider necrotizing mediastinitis in patients presenting with chest pain and signs of retropharyngeal infection after dental procedures. Prompt imaging, antimicrobial therapy, and surgical consultation is critical in treating this frequently fatal disease. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022-01-28 /pmc/articles/PMC8885237/ /pubmed/35226847 http://dx.doi.org/10.5811/cpcem.2021.11.54567 Text en © 2022 Pinkston. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Case Report Pinkston, Justin Khoury, Charles A. Raper, Jaron D. Necrotizing Mediastinitis Following Dental Extraction: A Case Report |
title | Necrotizing Mediastinitis Following Dental Extraction: A Case
Report |
title_full | Necrotizing Mediastinitis Following Dental Extraction: A Case
Report |
title_fullStr | Necrotizing Mediastinitis Following Dental Extraction: A Case
Report |
title_full_unstemmed | Necrotizing Mediastinitis Following Dental Extraction: A Case
Report |
title_short | Necrotizing Mediastinitis Following Dental Extraction: A Case
Report |
title_sort | necrotizing mediastinitis following dental extraction: a case
report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885237/ https://www.ncbi.nlm.nih.gov/pubmed/35226847 http://dx.doi.org/10.5811/cpcem.2021.11.54567 |
work_keys_str_mv | AT pinkstonjustin necrotizingmediastinitisfollowingdentalextractionacasereport AT khourycharlesa necrotizingmediastinitisfollowingdentalextractionacasereport AT raperjarond necrotizingmediastinitisfollowingdentalextractionacasereport |