title: Acute mediastinitis due to extravasation of parenteral nutritional formula via a central venous catheter.
abstract: Mediastinitis is a complication generally associated with thoracic surgery. Its occurrence after placement of a central venous catheter is uncommon, and only a few cases have been reported. An 83-year-old man who had mediastinitis due to extravasation of parenteral nutritional formula via a central venous catheter is presented. The signs and symptoms, diagnosis, and treatment of this unusual complication are described. This complication should be included in the differential diagnosis of mediastinitis in patients with a central venous catheter in place who have not had thoracic surgery.
authors: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Reina Sofía, Avda Intendente Jorge Palacios 2, 30003 Murcia, Spain. miguel_ruizmarin@yahoo.es
authors: Miguel Ruiz
authors: MR
authors: Marín
authors: Maria Encarnación Tamayo
authors: ME
authors: Rodríguez
authors: Jorge Alejandro Benavides
authors: JA
authors: Buleje
authors: Francisco Miguel González
authors: FM
authors: Valverde
authors: Marcelino Méndez
authors: MM
authors: Martínez
authors: Patricia Pastor
authors: PP
authors: Pérez
authors: María Vicente
authors: MV
authors: Ruiz
authors: Ana Ruiz
authors: AR
authors: Rodríguez
authors: Alejandro Puerta
authors: AP
authors: Sales
authors: Pedro Marín
authors: PM
authors: Rodríguez
authors: Antonio Albarracín Marín
authors: AA
authors: Blázquez
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D057868:Anastomotic Leak / Q000601:surgery; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003082:Colectomy / Q000009:adverse effects / Q000379:methods; D003110:Colonic Neoplasms / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D010288:Parenteral Nutrition / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed