title: [Descending necrotizing mediastinitis. A case report].
abstract: 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.
authors.affiliation: Service de chirurgie thoracique, CHU Ibn Sina Rabat, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Kabiri
authors.forename: M
authors.initials: M
authors.lastname: Manesouri
authors.forename: M
authors.initials: M
authors.lastname: Smahi
authors.forename: S
authors.initials: S
authors.lastname: al Aziz
authors.forename: A
authors.initials: A
authors.lastname: el Meslout
authors.forename: A
authors.initials: A
authors.lastname: Benosman
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D010406:Penicillins; D019818:Clavulanic Acid; D000658:Amoxicillin
vernacular_title: La médiastinite descendante nécrosante. A propos d'une observation.