Descending necrotizing mediastinitis secondary to retropharyngeal abscess without cervical spread

Shunsuke Endo; Hiroyoshi Tsubochi; Tomoyuki Nakano; Yasunori Sohara

doi:10.1007/s11748-007-0182-y

Descending necrotizing mediastinitis secondary to retropharyngeal abscess without cervical spread

Gen Thorac Cardiovasc Surg. 2008 Jan;56(1):25-7. doi: 10.1007/s11748-007-0182-y. Epub 2008 Jan 22.

Authors

Shunsuke Endo¹, Hiroyoshi Tsubochi, Tomoyuki Nakano, Yasunori Sohara

Affiliation

¹ Department of General Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan. tcvshun@jichi.ac.jp

PMID: 18213468
DOI: 10.1007/s11748-007-0182-y

Abstract

Cervical infections can cause neck phlegmonosa and occasionally develop lethal mediastinitis. We report a 52-year-old man with a retropharyngeal abscess causing descending mediastinis without cervical spread. Thoracoscopic drainage without cervicotomy was successful. Deep neck infections causing a descending mediastinitis should be considered in patients even without an abnormal neck appearance.

Publication types

Case Reports

MeSH terms

Anti-Bacterial Agents / therapeutic use
Drainage
Gram-Positive Bacterial Infections / complications*
Gram-Positive Bacterial Infections / diagnostic imaging
Gram-Positive Bacterial Infections / microbiology
Gram-Positive Bacterial Infections / therapy
Humans
Male
Mediastinitis / diagnostic imaging
Mediastinitis / microbiology*
Mediastinitis / therapy
Middle Aged
Necrosis
Peptostreptococcus / isolation & purification*
Retropharyngeal Abscess / complications*
Retropharyngeal Abscess / diagnostic imaging
Retropharyngeal Abscess / microbiology
Retropharyngeal Abscess / therapy
Thoracoscopy
Tomography, X-Ray Computed
Treatment Outcome

Substances

Anti-Bacterial Agents