Iatrogenic mediastinitis in bronchiolitis: Importance of avoiding pharyngeal aspiration
| Autor: | R. Rubinsztajn, M. Le Roch, Grégoire Benoist, V. Tavière, E. Thebault, B. Chevallier, S. Beaudoin |
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| Přispěvatelé: | Service d'anatomie pathologique [CHU Ambroise-Paré], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Ambroise Paré [AP-HP], Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil (UVSQ Santé), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty [SDV]Life Sciences [q-bio] Perforation (oil well) Suction 03 medical and health sciences 0302 clinical medicine Esophagus 030225 pediatrics Medicine Humans Pneumomediastinum First episode business.industry Infant Emergency department medicine.disease Mediastinitis 3. Good health Surgery medicine.anatomical_structure Bronchiolitis Pediatrics Perinatology and Child Health business Torticollis |
| Zdroj: | Archives de Pédiatrie Archives de Pédiatrie, Elsevier, 2019, 26, pp.295-297. ⟨10.1016/j.arcped.2019.05.009⟩ |
| ISSN: | 0929-693X 1769-664X |
| DOI: | 10.1016/j.arcped.2019.05.009⟩ |
| Popis: | An 11-month-old infant was hospitalized for his first episode of severe bronchiolitis, with pneumomediastinum on the chest x-ray performed in the emergency room before hospitalization. After a few days, the occurrence of a feverish torticollis motivated a CT scan, revealing mediastinitis. An iatrogenic perforation was objectified in the posterior wall of the esophagus, probably caused by nasopharyngeal aspiration. This exceptional case has never been reported before, except in premature infants. This encouraged us to report this case to change systematic aspiration practices and prefer nasal suctioning in healthy infants with bronchiolitis presenting to the emergency department. |
| Databáze: | OpenAIRE |
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