Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment Approach

In children, spontaneous mediastinitis is a rare, severe and commonly misdiagnosed disease. Although standard of care treatment frequently involves surgery, we report a case of mediastinitis in a five-year-old child, successfully treated with 4 weeks of intravenous antibiotics. Ultrasound imaging wa...

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Main Authors: Joana Lira, Joana Santos, Mariana Capela, Joana Rodrigues, Otília Cunha, Isabel Carvalho
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.mdpi.com/2039-7283/11/3/66
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author Joana Lira
Joana Santos
Mariana Capela
Joana Rodrigues
Otília Cunha
Isabel Carvalho
author_facet Joana Lira
Joana Santos
Mariana Capela
Joana Rodrigues
Otília Cunha
Isabel Carvalho
author_sort Joana Lira
collection DOAJ
description In children, spontaneous mediastinitis is a rare, severe and commonly misdiagnosed disease. Although standard of care treatment frequently involves surgery, we report a case of mediastinitis in a five-year-old child, successfully treated with 4 weeks of intravenous antibiotics. Ultrasound imaging was used to monitor patient response to conservative treatment while reducing radiation exposure.
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spelling doaj.art-4d2b2728112e4ca19371a01355ddb23e2023-11-22T12:32:17ZengMDPI AGClinics and Practice2039-72832021-08-0111350550810.3390/clinpract11030066Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment ApproachJoana Lira0Joana Santos1Mariana Capela2Joana Rodrigues3Otília Cunha4Isabel Carvalho5Pediatrics and Neonatology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, 4434 Vila Nova de Gaia, PortugalPediatrics and Neonatology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, 4434 Vila Nova de Gaia, PortugalPediatrics and Neonatology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, 4434 Vila Nova de Gaia, PortugalPediatrics and Neonatology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, 4434 Vila Nova de Gaia, PortugalPediatrics and Neonatology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, 4434 Vila Nova de Gaia, PortugalPediatrics and Neonatology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, 4434 Vila Nova de Gaia, PortugalIn children, spontaneous mediastinitis is a rare, severe and commonly misdiagnosed disease. Although standard of care treatment frequently involves surgery, we report a case of mediastinitis in a five-year-old child, successfully treated with 4 weeks of intravenous antibiotics. Ultrasound imaging was used to monitor patient response to conservative treatment while reducing radiation exposure.https://www.mdpi.com/2039-7283/11/3/66group a streptococcusdeep cervical infectionultrasound monitoring
spellingShingle Joana Lira
Joana Santos
Mariana Capela
Joana Rodrigues
Otília Cunha
Isabel Carvalho
Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment Approach
Clinics and Practice
group a streptococcus
deep cervical infection
ultrasound monitoring
title Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment Approach
title_full Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment Approach
title_fullStr Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment Approach
title_full_unstemmed Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment Approach
title_short Descending Mediastinitis in a Child: Diagnostic Challenges and a Different Treatment Approach
title_sort descending mediastinitis in a child diagnostic challenges and a different treatment approach
topic group a streptococcus
deep cervical infection
ultrasound monitoring
url https://www.mdpi.com/2039-7283/11/3/66
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AT marianacapela descendingmediastinitisinachilddiagnosticchallengesandadifferenttreatmentapproach
AT joanarodrigues descendingmediastinitisinachilddiagnosticchallengesandadifferenttreatmentapproach
AT otiliacunha descendingmediastinitisinachilddiagnosticchallengesandadifferenttreatmentapproach
AT isabelcarvalho descendingmediastinitisinachilddiagnosticchallengesandadifferenttreatmentapproach