title: [Descending necrotizing mediastinitis: treatment by transcervical thoracic drainage].
abstract: We report the case of a 29-year-old man with descending necrotizing mediastinitis and subcarinal spread secondary to oropharyngeal infection. The thoracic infection was treated by placement of a transcervical thoracic drain, which was removed 15 days after surgery. The outcome was satisfactory and no further invasive treatment was required. We believe that transcervical thoracic drainage is a useful initial treatment for descending necrotizing mediastinitis with subcarinal spread but no pleural cavity involvement.
authors.affiliation: Servicio de Cirugía Torácica. Consorcio Hospital General Universitario de Valencia. Valencia. España. tonyhonguero@yahoo.es
authors.forename: A F
authors.initials: AF
authors.lastname: Honguero Martínez
authors.forename: A
authors.initials: A
authors.lastname: Arnau Obrer
authors.forename: A
authors.initials: A
authors.lastname: Fernández Centeno
authors.forename: R
authors.initials: R
authors.lastname: Saumench Perramon
authors.forename: M
authors.initials: M
authors.lastname: Estors
authors.forename: A
authors.initials: A
authors.lastname: Cantó Armengod
mesh_terms: D000328:Adult; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery*; D009336:Necrosis; D014057:Tomography, X-Ray Computed