Descending necrotising mediastinitis, a fatal disease to keep in mind
Autor: | Haitham Qasem, Moaath Al Smady, Mahmoud Abu Abeeleh, Nader Al Bsoul, Raed M. Ennab |
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Rok vydání: | 2009 |
Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty medicine.medical_treatment medicine Diabetes Mellitus Humans Thoracotomy Empyema Pleural Unusual case business.industry Retropharyngeal abscess Middle Aged medicine.disease Retropharyngeal Abscess Mediastinitis Empyema Surgery Mediastinal widening Fatal disease Radiology Differential diagnosis Cardiology and Cardiovascular Medicine business |
Zdroj: | Heart, lungcirculation. 19(4) |
ISSN: | 1444-2892 |
Popis: | Descending necrotising mediastinitis, a term used by Estrera (1983) [1], is a rare and serious disease requiring prompt diagnosis and immediate aggressive surgical therapy. It should be considered in the differential diagnosis of acute mediastinal widening. We report an unusual case of primary retropharyngeal abscess complicated by descending necrotising mediastinitis and bilateral empyema in a 56-year-old diabetic man. The diagnosis of descending necrotising mediastinitis (DNM) was established by the characteristic findings on computed tomography. The patient was treated by cervicotomy and staged bilateral posterolateral thoracotomy. |
Databáze: | OpenAIRE |
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