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Descending necrotizing mediastinitis secondary to retropharyngeal abscess without cervical spread
Shunsuke Endo1, Hiroyoshi Tsubochi, Tomoyuki Nakano
1Department of General Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan. tcvshun@jichi.ac.jp
Abstract:
Cervical infections can cause neck phlegmonosa and occasionally develop lethal mediastinitis. We report a 52-year-old man with a retropharyngeal abscess causing descending mediastinis without cervical spread. Thoracoscopic drainage without cervicotomy was successful. Deep neck infections causing a descending mediastinitis should be considered in patients even without an abnormal neck appearance.
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