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CT features of descending necrotizing mediastinitis—a pictorial essay

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Abstract

Descending necrotizing mediastinitis (DNM) is a relatively rare condition caused by downward spread of neck infections into the mediastinum. This infection previously had a much worse prognosis. In recent years, prompt computer topography (CT) diagnosis has been recommended. CT scan provides the earliest means of detecting DNM for optimal management and early surgical intervention. This paper provides an illustrated summary of our extensive clinical experience with DNM, involving 36 documented cases with CT over a 5-year period.

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Authors and Affiliations

  1. Department of Radiology, Emergency and Trauma CT Section, Cardarelli Hospital, Via Cardarelli 9, Naples, 80131, Italy

    Mariano Scaglione, Antonio Pinto, Loredana Di Nuzzo & Luigia Romano

  2. Department of Diagnostic Imaging, Palasciano e Melorio Hospitals, S.Maria Capua Vetere e Capua, ASL Caserta 2, Naples, Italy

    Sabrina Giovine

  3. Vincon Diagnostic Center, 5732 Canton Cove, Winter Springs, FL, 32708, USA

    Vincenzo Giuliano

  4. Nova Southeastern University College of Medicine, Fort Lauderdale-Davie, FL, FL 33314-7796, USA

    Vincenzo Giuliano

  5. Via G. Merliani, 31, Naples, 80127, Italy

    Mariano Scaglione

Authors
  1. Mariano Scaglione
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  2. Antonio Pinto
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  3. Sabrina Giovine
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  4. Loredana Di Nuzzo
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  5. Vincenzo Giuliano
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  6. Luigia Romano
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Corresponding author

Correspondence to Mariano Scaglione.

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Scaglione, M., Pinto, A., Giovine, S. et al. CT features of descending necrotizing mediastinitis—a pictorial essay. Emerg Radiol 14, 77–81 (2007). https://doi.org/10.1007/s10140-007-0606-0

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  • DOI: https://doi.org/10.1007/s10140-007-0606-0

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