Descending necrotizing mediastinitis
Background: Descending necrotizing mediastinitis (DNM) is an acute, serious, septic disease which results from a complication of oropharyngeal infection. The disease requires a prompt diagnosis and radical surgical treatment to reduce high mortality (40%). The optimal form of mediastinal drainage re...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2006-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500607677C.pdf |
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| _version_ | 1850218355026296832 |
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| author | Cvijanović Vlado Stanić Vojkan Ristanović Aleksandar Gulić Bojan Durković Savo Stamenović Davor Marić Nebojša |
| author_facet | Cvijanović Vlado Stanić Vojkan Ristanović Aleksandar Gulić Bojan Durković Savo Stamenović Davor Marić Nebojša |
| author_sort | Cvijanović Vlado |
| collection | DOAJ |
| description | Background: Descending necrotizing mediastinitis (DNM) is an acute, serious, septic disease which results from a complication of oropharyngeal infection. The disease requires a prompt diagnosis and radical surgical treatment to reduce high mortality (40%). The optimal form of mediastinal drainage remains controversial. The reason for publishing this report is both the fact that DNM is very rare and our experience preferring thoracotomy as an optimal approach to treating the disease. Case report. We reported a 34-years-old woman with DNM. The disease began as a peritonsillar abscess. After a bilateral double pleural drainage the disease worsened. In order to achieve radical mediastinal debridement and drainage, we carried out posterolateral right thoracotomy. We also had to perform left thoracotomy because of massive bleeding caused by septic erosion. There were no more reoperations. Conclusion. Aggressive surgical treatment, regardless the localization and the extent of changes is the key to success in the treatment of patients with necrotizing mediastinitis. |
| format | Article |
| id | doaj-art-375b7403fd0247d2ba9982b3d93474ca |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2006-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-375b7403fd0247d2ba9982b3d93474ca2025-08-20T02:07:46ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502006-01-0163767768010.2298/VSP0607677CDescending necrotizing mediastinitisCvijanović VladoStanić VojkanRistanović AleksandarGulić BojanDurković SavoStamenović DavorMarić NebojšaBackground: Descending necrotizing mediastinitis (DNM) is an acute, serious, septic disease which results from a complication of oropharyngeal infection. The disease requires a prompt diagnosis and radical surgical treatment to reduce high mortality (40%). The optimal form of mediastinal drainage remains controversial. The reason for publishing this report is both the fact that DNM is very rare and our experience preferring thoracotomy as an optimal approach to treating the disease. Case report. We reported a 34-years-old woman with DNM. The disease began as a peritonsillar abscess. After a bilateral double pleural drainage the disease worsened. In order to achieve radical mediastinal debridement and drainage, we carried out posterolateral right thoracotomy. We also had to perform left thoracotomy because of massive bleeding caused by septic erosion. There were no more reoperations. Conclusion. Aggressive surgical treatment, regardless the localization and the extent of changes is the key to success in the treatment of patients with necrotizing mediastinitis.http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500607677C.pdfmediastinitisnecrosispleuradrainagethoracotomy |
| spellingShingle | Cvijanović Vlado Stanić Vojkan Ristanović Aleksandar Gulić Bojan Durković Savo Stamenović Davor Marić Nebojša Descending necrotizing mediastinitis Vojnosanitetski Pregled mediastinitis necrosis pleura drainage thoracotomy |
| title | Descending necrotizing mediastinitis |
| title_full | Descending necrotizing mediastinitis |
| title_fullStr | Descending necrotizing mediastinitis |
| title_full_unstemmed | Descending necrotizing mediastinitis |
| title_short | Descending necrotizing mediastinitis |
| title_sort | descending necrotizing mediastinitis |
| topic | mediastinitis necrosis pleura drainage thoracotomy |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500607677C.pdf |
| work_keys_str_mv | AT cvijanovicvlado descendingnecrotizingmediastinitis AT stanicvojkan descendingnecrotizingmediastinitis AT ristanovicaleksandar descendingnecrotizingmediastinitis AT gulicbojan descendingnecrotizingmediastinitis AT durkovicsavo descendingnecrotizingmediastinitis AT stamenovicdavor descendingnecrotizingmediastinitis AT maricnebojsa descendingnecrotizingmediastinitis |