[Descending necrotizing mediastinitis. A case report].
Descending necrotizing mediastinitis which may occur as a complication of neglected oropharynx infection is an uncommon disease, although it is lethal in most cases. Trismus and dyspnea are usual with palpable crepitation located in the cervico-thoracic area. Early diagnosis can be confirmed with accuracy by CT scan. Treatment is based on early mediastinal drainage by cervical approach, intravenous antibiotics and reanimation. The reported case had a favorable outcome.
Kabiri
H
H
Service de chirurgie thoracique, CHU Ibn Sina Rabat, Maroc.
Manesouri
M
M
Smahi
M
M
al Aziz
S
S
el Meslout
A
A
Benosman
A
A
D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019818:Clavulanic Acid / Q000627:therapeutic use; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis / Q000628:therapy; D010406:Penicillins / Q000627:therapeutic use; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D010406:Penicillins; D019818:Clavulanic Acid; D000658:Amoxicillin
La médiastinite descendante nécrosante. A propos d'une observation.