Descending necrotizing mediastinitis secondary to retropharyngeal abscess without cervical spread.
Cervical infections can cause neck phlegmonosa and occasionally develop lethal mediastinitis. We report a 52-year-old man with a retropharyngeal abscess causing descending mediastinis without cervical spread. Thoracoscopic drainage without cervicotomy was successful. Deep neck infections causing a descending mediastinitis should be considered in patients even without an abnormal neck appearance.
Endo
Shunsuke
S
Department of General Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan. tcvshun@jichi.ac.jp
Tsubochi
Hiroyoshi
H
Nakano
Tomoyuki
T
Sohara
Yasunori
Y
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D008875:Middle Aged; D009336:Necrosis; D010462:Peptostreptococcus / Q000302:isolation & purification*; D017703:Retropharyngeal Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents