Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage
Descending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection tre...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2015-10-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/441386 |
| _version_ | 1818353159293108224 |
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| author | Minoru Fukuchi Okihide Suzuki Daisuke Nasu Kazue Koizumi Yu Muta Hideko Imaizumi Toru Ishiguro Youichi Kumagai Keiichiro Ishibashi Erito Mochiki Hideyuki Ishida |
| author_facet | Minoru Fukuchi Okihide Suzuki Daisuke Nasu Kazue Koizumi Yu Muta Hideko Imaizumi Toru Ishiguro Youichi Kumagai Keiichiro Ishibashi Erito Mochiki Hideyuki Ishida |
| author_sort | Minoru Fukuchi |
| collection | DOAJ |
| description | Descending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection treated successfully with tooth extraction following mediastinal and cervical drainage. A 43-year-old, previously healthy Japanese man was admitted to our hospital for treatment of acute mediastinitis. Computed tomography revealed gas collection around the mid-thoracic esophagus and bilateral pleural effusion. We performed mediastinal drainage via right thoracotomy. Cervicotomy was performed on postoperative day 14 to drain a residual cervical abscess. The patient required the extraction of ten teeth over three procedures to address primary odontogenic infection before his fever resolved on postoperative day 40. Prompt diagnosis, aggressive drainage and removal of the source of infection can improve survival among patients with this life-threatening disease. |
| first_indexed | 2024-12-13T19:05:06Z |
| format | Article |
| id | doaj.art-ae9ba6ca229540e18c80bd189d60cc13 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-13T19:05:06Z |
| publishDate | 2015-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-ae9ba6ca229540e18c80bd189d60cc132022-12-21T23:34:34ZengKarger PublishersCase Reports in Gastroenterology1662-06312015-10-019331131610.1159/000441386441386Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical DrainageMinoru FukuchiOkihide SuzukiDaisuke NasuKazue KoizumiYu MutaHideko ImaizumiToru IshiguroYouichi KumagaiKeiichiro IshibashiErito MochikiHideyuki IshidaDescending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection treated successfully with tooth extraction following mediastinal and cervical drainage. A 43-year-old, previously healthy Japanese man was admitted to our hospital for treatment of acute mediastinitis. Computed tomography revealed gas collection around the mid-thoracic esophagus and bilateral pleural effusion. We performed mediastinal drainage via right thoracotomy. Cervicotomy was performed on postoperative day 14 to drain a residual cervical abscess. The patient required the extraction of ten teeth over three procedures to address primary odontogenic infection before his fever resolved on postoperative day 40. Prompt diagnosis, aggressive drainage and removal of the source of infection can improve survival among patients with this life-threatening disease.http://www.karger.com/Article/FullText/441386Descending necrotizing mediastinitisDrainageTooth extraction |
| spellingShingle | Minoru Fukuchi Okihide Suzuki Daisuke Nasu Kazue Koizumi Yu Muta Hideko Imaizumi Toru Ishiguro Youichi Kumagai Keiichiro Ishibashi Erito Mochiki Hideyuki Ishida Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage Case Reports in Gastroenterology Descending necrotizing mediastinitis Drainage Tooth extraction |
| title | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
| title_full | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
| title_fullStr | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
| title_full_unstemmed | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
| title_short | Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage |
| title_sort | descending necrotizing mediastinitis treated with tooth extractions following mediastinal and cervical drainage |
| topic | Descending necrotizing mediastinitis Drainage Tooth extraction |
| url | http://www.karger.com/Article/FullText/441386 |
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