title: Descending necrotizing mediastinitis in early childhood: favorable outcome after aggressive treatment.
abstract: OBJECTIVE
  To report a case of descending necrotizing mediastinitis (DNM), an unusual illness in childhood that develops as a complication of oropharyngeal infection.
  
  
  METHODS
  Descriptive case report.
  
  
  METHODS
  Pediatric intensive care unit.
  
  
  METHODS
  A 19-month-old boy with a DNM that resulted from a pharyngeal abscess.
  
  
  METHODS
  Aggressive surgical debridement; intravenous therapy with broad-spectrum antibiotics.
  
  
  RESULTS
  Simple chest radiograph and computed tomographic scan, and routine culture were used to assess the patient. Administration of broad-spectrum antibiotics and surgical drainage resulted in clinical resolution of symptoms.
  
  
  CONCLUSIONS
  An aggressive approach (broad-spectrum antibiotics and surgical debridement) can improve the prognosis of DNM in children.
authors.affiliation: Pediatric Critical Care, Reina Sofía Children's Hospital, Córdoba, Spain.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Dueñas
authors.forename: Emilia
authors.initials: E
authors.lastname: García-Menor
authors.forename: Ignacio
authors.initials: I
authors.lastname: Ibarra De La Rosa
authors.forename: Adoración
authors.initials: A
authors.lastname: Granados
authors.forename: Montserrat
authors.initials: M
authors.lastname: Antón
authors.forename: Juan L
authors.initials: JL
authors.lastname: Pérez-Navero
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003646:Debridement; D006801:Humans; D007223:Infant; D008297:Male; D008480:Mediastinitis / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D009336:Necrosis
chemical_list: D000900:Anti-Bacterial Agents