Supraglottitis complicated by mediastinitis.
A rare case of supraglottitis complicated by mediastinitis is presented. Despite aggressive treatment with broadspectrum intravenous antibiotics, the patient persisted to have generalized supraglottitis. Subsequent computed tomography (CT) scanning revealed that she had developed a frank fluid collection starting at the suprasternal notch, extending retrosternally into the superior mediastinum. She recovered with conservative management and did not require aggressive mediastinal drainage as advocated by the literature.
Department of Otolaryngology, The Royal Surrey County Hospital, Guildford, Surrey, UK.
U F
UF
Coales
N
N
Solomons
D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D002444:Cefuroxime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005436:Floxacillin / Q000627:therapeutic use; D005931:Glottis; D006801:Humans; D007262:Infusions, Intravenous; D007827:Laryngitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008795:Metronidazole / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000890:Anti-Infective Agents; D002511:Cephalosporins; D010406:Penicillins; D008795:Metronidazole; D005436:Floxacillin; D002439:Cefotaxime; D002444:Cefuroxime