title: Anaerobic mediastinitis and septic shock secondary to esophageal perforation.
abstract: The authors report unusual complications arising from the ingestion of a small fish bone by a 68-year-old man. These included mediastinitis, empyema, pericarditis and septic shock, probably secondary to a small perforation of the esophagus. After appropriate surgical drainage, antibiotic therapy and supportive therapy the patient made a good recovery.
mesh_terms: D000368:Aged; D000693:Anaerobiosis; D000818:Animals; D001424:Bacterial Infections / Q000209:etiology*; D001842:Bone and Bones; D004653:Empyema / Q000209:etiology; D004939:Esophageal Perforation / Q000150:complications*; D004947:Esophagus; D005399:Fishes; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000209:etiology*; D010493:Pericarditis / Q000209:etiology; D011859:Radiography; D012772:Shock, Septic / Q000209:etiology*