title: Hyperbaric oxygen as an adjunctive treatment for descending necrotizing mediastinitis: a case report.
abstract: Descending necrotizing mediastinitis is a rare but serious complication of oropharyngeal and deep neck infection which spreads down to the mediastinum via the cervical-facial planes. Its mortality rate remains high even with aggressive surgical drainage and appropriate antibiotics. Here, a case of descending necrotizing mediastinitis secondary to peritonsillar abscess is reported. It was successfully treated with hyperbaric oxygen and antibiotics followed by surgical drainage. Based on this report, hyperbaric oxygen therapy might be of great value as an adjunctive management to control this fatal infection.
authors.affiliation: Department of Internal Medicine, China Medical College, Taichung, Taiwan, R.O.C.
authors.forename: L W
authors.initials: LW
authors.lastname: Hang
authors.forename: T C
authors.initials: TC
authors.lastname: Lien
authors.forename: L S
authors.initials: LS
authors.lastname: Wang
authors.forename: J H
authors.initials: JH
authors.lastname: Wang
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008480:Mediastinitis / Q000628:therapy*; D008875:Middle Aged; D009336:Necrosis
chemical_list: D000900:Anti-Bacterial Agents