title: Descending necrotizing mediastinitis following acute epiglottitis: a case report.
abstract: 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.
authors.affiliation: Department of Otolaryngology, Kyoto University Hospital, Sakyo-ku, Kyoto, 606-8507, Japan. tateya@hs.m.kyoto-u.ac.jp
authors.forename: Ichiro
authors.initials: I
authors.lastname: Tateya
authors.forename: Nobuya
authors.initials: N
authors.lastname: Fujiki
authors.forename: Kyosuke
authors.initials: K
authors.lastname: Kurata
authors.forename: Seiki
authors.initials: S
authors.lastname: Hasegawa
authors.forename: Hisayoshi
authors.initials: H
authors.lastname: Kojima
mesh_terms: 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