Hematogenous dissemination mediastinitis: case report
Background: Acute mediastinitis is the inflammation of the connective tissue and fat surrounding the mediastinal structures. It is a high-mortality entity and its most frequent causes include sternotomy infections from cardiovascular surgery, esophageal perforation and extension of head and neck inf...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Asociación Colombiana de Infectología
2021-08-01
|
| Series: | Infectio |
| Subjects: |
| _version_ | 1828178247603453952 |
|---|---|
| author | Carlos Mauricio Martínez-Montalvo |
| author_facet | Carlos Mauricio Martínez-Montalvo |
| author_sort | Carlos Mauricio Martínez-Montalvo |
| collection | DOAJ |
| description | Background: Acute mediastinitis is the inflammation of the connective tissue and fat surrounding the mediastinal structures. It is a high-mortality entity and its most frequent causes include sternotomy infections from cardiovascular surgery, esophageal perforation and extension of head and neck infections. Isolated cases of acute mediastinitis from hematogenous spread are described in the literature.Case presentation: 58 year-old man, with history of gouty arthritis managed with steroids, diagnosed with acute mediastinitis by S. aureus, secondary to septic arthritis of the ankle, managed with drainage of mediastinal collections by thoracoscopy and antibiotic therapy, with satisfactory evolution.Conclusions: In patients with acute mediastinitis, hematogenous dissemination should be considered when the etiologies most frequently associated with the entity are ruled out. Early surgical treatment derived from a multidisciplinary diagnostic approach improves the prognosis of these patients.Keywords: Mediastinitis, Hematogenous dissemination, Staphylococcus aureus. |
| first_indexed | 2024-04-12T05:11:55Z |
| format | Article |
| id | doaj.art-b754290d1c3946299f57abfccd55185f |
| institution | Directory Open Access Journal |
| issn | 0123-9392 |
| language | English |
| last_indexed | 2024-04-12T05:11:55Z |
| publishDate | 2021-08-01 |
| publisher | Asociación Colombiana de Infectología |
| record_format | Article |
| series | Infectio |
| spelling | doaj.art-b754290d1c3946299f57abfccd55185f2022-12-22T03:46:44ZengAsociación Colombiana de InfectologíaInfectio0123-93922021-08-012619194https://doi.org/10.22354/in.v26i1.1001Hematogenous dissemination mediastinitis: case reportCarlos Mauricio Martínez-Montalvo0https://orcid.org/0000-0003-3136-4395Internal Medicine Resident, Universidad del Rosario, Bogotá, ColombiaBackground: Acute mediastinitis is the inflammation of the connective tissue and fat surrounding the mediastinal structures. It is a high-mortality entity and its most frequent causes include sternotomy infections from cardiovascular surgery, esophageal perforation and extension of head and neck infections. Isolated cases of acute mediastinitis from hematogenous spread are described in the literature.Case presentation: 58 year-old man, with history of gouty arthritis managed with steroids, diagnosed with acute mediastinitis by S. aureus, secondary to septic arthritis of the ankle, managed with drainage of mediastinal collections by thoracoscopy and antibiotic therapy, with satisfactory evolution.Conclusions: In patients with acute mediastinitis, hematogenous dissemination should be considered when the etiologies most frequently associated with the entity are ruled out. Early surgical treatment derived from a multidisciplinary diagnostic approach improves the prognosis of these patients.Keywords: Mediastinitis, Hematogenous dissemination, Staphylococcus aureus. mediastinitisdiseminación hematógenastaphylococcus aureus. |
| spellingShingle | Carlos Mauricio Martínez-Montalvo Hematogenous dissemination mediastinitis: case report Infectio mediastinitis diseminación hematógena staphylococcus aureus. |
| title | Hematogenous dissemination mediastinitis: case report |
| title_full | Hematogenous dissemination mediastinitis: case report |
| title_fullStr | Hematogenous dissemination mediastinitis: case report |
| title_full_unstemmed | Hematogenous dissemination mediastinitis: case report |
| title_short | Hematogenous dissemination mediastinitis: case report |
| title_sort | hematogenous dissemination mediastinitis case report |
| topic | mediastinitis diseminación hematógena staphylococcus aureus. |
| work_keys_str_mv | AT carlosmauriciomartinezmontalvo hematogenousdisseminationmediastinitiscasereport |