Descending necrotizing mediastinitis following acute epiglottitis: a case report.
Descending necrotizing mediastinitis occurs secondary to deep neck infection, and the primary focus of infection is mostly located in the tonsil, pharynx and carious tooth. DNM following acute epiglottitis is quite rare, with only one case reported. We treated an 84-year old female with an acute epiglottitis followed by DNM. She was successfully treated by drainages with cervical surgery combined with thoracotomy and cervical surgery.
Tateya
Ichiro
I
Department of Otolaryngology, Kyoto University Hospital, Sakyo-ku, Kyoto, 606-8507, Japan. tateya@hs.m.kyoto-u.ac.jp
Fujiki
Nobuya
N
Kurata
Kyosuke
K
Hasegawa
Seiki
S
Kojima
Hisayoshi
H
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage; D004826:Epiglottitis / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D009336:Necrosis; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed