Descending necrotizing mediastinitis secondary to a dental infection
Descending necrotizing mediastinitis is a rare type of deep infection of the soft tissues of the face, originating from cervical and oral infections, typically dental infections. It is associated with high mortality, due to its high invasive potential and the fact that the diagnosis is often delayed...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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University of São Paulo
2012-03-01
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| Series: | Autopsy and Case Reports |
| Subjects: | |
| Online Access: | http://www.revistas.usp.br/autopsy/article/view/26085 |
| _version_ | 1819105804844793856 |
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| author | Edson Martins de Oliveira Junior Raphael Teixeira Moreira Tayguara Cerqueira Cavalcante |
| author_facet | Edson Martins de Oliveira Junior Raphael Teixeira Moreira Tayguara Cerqueira Cavalcante |
| author_sort | Edson Martins de Oliveira Junior |
| collection | DOAJ |
| description | Descending necrotizing mediastinitis is a rare type of deep infection of the
soft tissues of the face, originating from cervical and oral infections, typically
dental infections. It is associated with high mortality, due to its high invasive
potential and the fact that the diagnosis is often delayed. We report the case
of a 42-year-old female patient presenting with severe trismus, fever, purulent
intraoral drainage, dysphagia, and dysphonia, accompanied by edema and
redness in the cervical region. She was diagnosed with necrotizing descending
mediastinitis secondary to a dental infection after the extraction of a mandibular
third molar. The patient underwent surgical drainage and intravenous antibiotic
therapy. Despite the development of septicemia, the evolution was favorable
and the patient was discharged on post-admission day 20. Early and accurate
diagnosis, together with prompt treatment, is imperative for better outcomes
in this rare condition. |
| first_indexed | 2024-12-22T02:28:04Z |
| format | Article |
| id | doaj.art-fd00d9816b07496db4b0ac88488bf75a |
| institution | Directory Open Access Journal |
| issn | 2236-1960 |
| language | English |
| last_indexed | 2024-12-22T02:28:04Z |
| publishDate | 2012-03-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Autopsy and Case Reports |
| spelling | doaj.art-fd00d9816b07496db4b0ac88488bf75a2022-12-21T18:41:57ZengUniversity of São PauloAutopsy and Case Reports2236-19602012-03-012110.4322/acr.%y.2608526047Descending necrotizing mediastinitis secondary to a dental infectionEdson Martins de Oliveira Junior0Raphael Teixeira Moreira1Tayguara Cerqueira Cavalcante2Divisão de Odontologia do Hospital Universitário da USPDiv. de Odontologia do Hospital Universitário Oswaldo Cruz, Univ. de PernambucoDiv. de Odontologia do Hospital Obras Sociais da Irmã Dulce, SalvadorDescending necrotizing mediastinitis is a rare type of deep infection of the soft tissues of the face, originating from cervical and oral infections, typically dental infections. It is associated with high mortality, due to its high invasive potential and the fact that the diagnosis is often delayed. We report the case of a 42-year-old female patient presenting with severe trismus, fever, purulent intraoral drainage, dysphagia, and dysphonia, accompanied by edema and redness in the cervical region. She was diagnosed with necrotizing descending mediastinitis secondary to a dental infection after the extraction of a mandibular third molar. The patient underwent surgical drainage and intravenous antibiotic therapy. Despite the development of septicemia, the evolution was favorable and the patient was discharged on post-admission day 20. Early and accurate diagnosis, together with prompt treatment, is imperative for better outcomes in this rare condition.http://www.revistas.usp.br/autopsy/article/view/26085MediastinitisTherapeutics. |
| spellingShingle | Edson Martins de Oliveira Junior Raphael Teixeira Moreira Tayguara Cerqueira Cavalcante Descending necrotizing mediastinitis secondary to a dental infection Autopsy and Case Reports Mediastinitis Therapeutics. |
| title | Descending necrotizing mediastinitis secondary to a dental infection |
| title_full | Descending necrotizing mediastinitis secondary to a dental infection |
| title_fullStr | Descending necrotizing mediastinitis secondary to a dental infection |
| title_full_unstemmed | Descending necrotizing mediastinitis secondary to a dental infection |
| title_short | Descending necrotizing mediastinitis secondary to a dental infection |
| title_sort | descending necrotizing mediastinitis secondary to a dental infection |
| topic | Mediastinitis Therapeutics. |
| url | http://www.revistas.usp.br/autopsy/article/view/26085 |
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