title: Descending necrotizing mediastinitis associated with spinal cord abscess.
abstract: A 58-year-old man with a history of Ludwig's angina was admitted with a spinal cord abscess at the level of C2-T1 and associated osteomyelitic destruction of vertebral bodies, spinal cord compression, and secondary quadriparesis, followed by descending mediastinitis. A right posterolateral thoracotomy and a cervicotomy drained purulent exudates. A tracheostomy was performed, and the patient was discharged after 84 days.
authors: Department of Cardiothoracic Surgery, General Hospital of Mexico, México City, Mexico. wadafa@hotmail.com
authors: Walid Leonardo
authors: WL
authors: Dajer-Fadel
authors: Rafael
authors: R
authors: Borrego-Borrego
authors: Octavio
authors: O
authors: Flores-Calderón
authors: Rubén
authors: R
authors: Argüero-Sánchez
authors: Francisco Pascual
authors: FP
authors: Navarro-Reynoso
authors: Carlos
authors: C
authors: Ibarra-Pérez
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020806:Central Nervous System Bacterial Infections / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D004322:Drainage; D006801:Humans; D008158:Ludwig's Angina / Q000175:diagnosis / Q000382:microbiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D008875:Middle Aged; D009336:Necrosis; D010019:Osteomyelitis / Q000209:etiology; D011782:Quadriplegia / Q000209:etiology; D013117:Spinal Cord Compression / Q000209:etiology; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013908:Thoracotomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents