Descending necrotizing mediastinitis secondary to retropharyngeal abscess in a child.
We report herein of a 6-year-old boy with descending necrotizing mediastinitis (DNM) secondary to retropharyngeal abscess, who was successfully treated by the administration of antibiotics. DNM is very rare in children, and surgical drainage of the mediastinum is recommended in adult patients. DNM should be recognized as a severe complication of an oropharyngeal infection in children, and early and accurate diagnosis is important in ensuring appropriate clinical management.
Department of Pediatrics, Kagoshima City Hospital, Kagoshima, Japan.
Yuichi
Y
Yamasaki
Junichiro
J
Nishi
Takuro
T
Nishikawa
Chiho
C
Tatsumoto
Fujihiko
F
Kasano
Nozomi
N
Sano
Yoshifumi
Y
Kawano
Kiyoshi
K
Kawakami
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D009336:Necrosis / Q000188:drug therapy / Q000209:etiology; D011859:Radiography; D017703:Retropharyngeal Abscess / Q000150:complications* / Q000000981:diagnostic imaging
D000900:Anti-Bacterial Agents