[Mediastinitis caused by odontogenic anaerobic bacteria].
Anaerobic odontogenic mediastinitis appeared to be on the increase. The case described had a favourable outcome. The aetiology and pathology of this disease, the dreadful prognosis of which was a mortality rate of 50%, were discussed. The aggravating factors appeared to be general, these patients presenting a particular predisposition, due to steroids and malnutrition, and anatomical, as the cellulitis spread along cervical fascial planes. The treatment always required was mediastinal surgical drainage by a transcervical approach or by thoracotomy, the association of three antibiotics (a penicillin with an imidazole, an aminoglycoside or a macrolide) and a high energy and nitrogen intake.
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001421:Bacteria, Anaerobic; D001424:Bacterial Infections / Q000150:complications* / Q000382:microbiology; D005260:Female; D005491:Focal Infection, Dental / Q000150:complications / Q000382:microbiology*; D006801:Humans; D008480:Mediastinitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology* / Q000601:surgery
D000900:Anti-Bacterial Agents
Les médiastinites à anaérobies odontogéniques.