Acta clinica Croatica, Vol. 45 No. 3, 2006.
Other
Descending Necrotizing Mediastinitis
Igor Nikolić
Željko Bumber
Dinko Stančić-Rokotov
Zoran Slobodnjak
Boris Bumber
Nevenka Hodoba
Nevenka Kolarić
Abstract
Descending necrotizing mediastinitis is a severe septic infection of the mediastinum, mostly resulting from an infectious process originating from the neck or oral cavity. The mortality rate associated with descending necrotizing mediastinitis remains high (>40%) in spite of the current medical and surgical treatment options. The disease may occur at any age and in either sex. Early diagnosis is of utmost importance to immediately initiate intensive antibiotic therapy or surgical intervention in case of the infectious process descent to the thoracic cavity. A patient with descending necrotizing mediastinitis, initially treated with antibiotic therapy followed by surgical intervention due to the disease propagation, is presented. Intraoperatively, a life threatening complication of the left venous angle erosion developed.
Keywords
Mediastinitis - etiology; Mediastinitis - diagnosis; Mediastinitis - therapy; Mediastinitis - surgery; Mediastinitis - complications; Case report
Hrčak ID:
14065
URI
Publication date:
1.9.2006.
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