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Descending necrotizing mediastinitis following acute epiglottitis: a case report
Ichiro Tateya1, Nobuya Fujiki, Kyosuke Kurata
1Department of Otolaryngology, Kyoto University Hospital, Sakyo-ku, Kyoto, 606-8507, Japan. tateya@hs.m.kyoto-u.ac.jp
Abstract:
Descending necrotizing mediastinitis occurs secondary to deep neck infection, and the primary focus of infection is mostly located in the tonsil, pharynx and carious tooth. DNM following acute epiglottitis is quite rare, with only one case reported. We treated an 84-year old female with an acute epiglottitis followed by DNM. She was successfully treated by drainages with cervical surgery combined with thoracotomy and cervical surgery.