title: Anterior mediastinal abscess diagnosed in a young sumo wrestler after closed blunt chest trauma.
abstract: Most mediastinal abscesses result from infections after thoracotomy, esophageal perforation or pene- trating chest trauma. This disease is rarely caused by closed blunt chest trauma. All previously reported such cases after closed blunt chest trauma presented with hematoma and sternal osteomyelitis resulting from sternal fracture. Here we report a 15-year-old sumo wrestler who presented with an anterior mediastinal abscess without any mediastinal fracture. The mediastinal abscess resulted from the hematogenous spread of Staphylococcus aureus to a hematoma that might have been caused by a closed blunt chest trauma incurred during sumo wrestling exercises.
authors.affiliation: Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital, 4-23-15 kohtohbashi, Sumida City, Tokyo 130-0022, Japan.
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Sassa
authors.forename: Ken-Ichiro
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Masayuki
authors.initials: M
authors.lastname: Ota
authors.forename: Takuya
authors.initials: T
authors.lastname: Washino
authors.forename: Mayu
authors.initials: M
authors.lastname: Hikone
authors.forename: Naoya
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Sentaro
authors.initials: S
authors.lastname: Iwabuchi
authors.forename: Mizuto
authors.initials: M
authors.lastname: Otsuji
authors.forename: Kenji
authors.initials: K
authors.lastname: Ohnishi
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D003937:Diagnosis, Differential; D004322:Drainage; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D013898:Thoracic Injuries / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D014952:Wrestling / Q000293:injuries*
chemical_list: D000900:Anti-Bacterial Agents