[Mediastinitis caused by tonsillitis ].
We report case of 50-year-old female with mediastinitis due to tonsillitis. Mediastinitis was diagnosed after five days according to clinical signs, radiological examination and computerized tomography scan. The patient underwent mediastinal drainage through a cervical incision and bilateral thoracic drainage because of bilateral pleural empyema. Initial broad-spectrum antibiotic therapy was replaced with imipenem, amicacin and vancomycin after the bacteriological investigation revealed susceptibility to isolated acinetobacter spp, staphylococcus spp coagulase-negative, enterococcus and staphylococcus. After 46 days of hospitalization patient went home.
Stamenković
D
D
KBC Bezanijska Kosa, Beograd.
Randjelović
T
T
Ivanović
N
N
D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D014069:Tonsillitis / Q000150:complications*