Mediastinitis with fistula formation to the left main bronchus. A complication of wisdom tooth extraction.
We describe a 23-year-old patient who after extraction of four wisdom teeth developed a descending necrotizing mediastinitis with a spontaneous fistula to the left main bronchus. Because of this fistula, treatment was limited to surgical drainage of the neck region and antibiotics. Recovery was uneventful.
Van Straalen
H C
HC
Department of Pulmonary Diseases, Catharina Hospital, Eindhoven, The Netherlands.
Jansveld
K A
KA
Michels
L F
LF
Tjon a Tham
R T
RT
D000328:Adult; D001983:Bronchial Fistula / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008477:Mediastinal Diseases / Q000209:etiology*; D008480:Mediastinitis / Q000209:etiology*; D008964:Molar, Third / Q000601:surgery*; D014081:Tooth Extraction / Q000009:adverse effects*