Related Experiment Videos
[Pleural empyema as a complication of descending necrotizing mediastinitis]
E Sobolewska1, J Skokowski, E Jadczuk
1Katedry i Kliniki Chirurgii Klatki Piersiowej w Gdańsku.
Abstract:
Fulminant infections of oropharyngeal origin may cause the most lethal form of mediastinitis due to extension of the infection along the neck fascial planes or by lymphatic way: descending necrotizing mediastinitis. Two cases of this rare life-threatening entity of odontogenic and tonsillar origin are reported. A pleural empyema and pericarditis as complications were observed. Bacteriologic etiology, possibilities of the early diagnosis and the aggressive treatment by means of a thoracotomy are discussed.
Insights
Descending necrotizing mediastinitis, a severe infection from the throat, can be fatal. This report details two rare cases originating from dental or tonsil infections, emphasizing early diagnosis and aggressive surgical treatment.
Area of Science:
- Infectious Diseases
- Thoracic Surgery
- Otolaryngology
Background:
- Descending necrotizing mediastinitis (DNM) is a rare but life-threatening infection.
- It originates from infections in the oropharyngeal region, spreading via fascial planes or lymphatics.
- Odontogenic and tonsillar infections are potential sources.