Adnan EKİNCİ, İbrahim ALADAĞ, Levent GÜRBÜZLER, Sema KOÇ

Descending necrotizing mediastinitis and mediastinal abscesses following odontogenic infection: A case report

Desendan nekrotizan mediastinit (DNM), baş ve boyun enfeksiyonlarının servikal fasiyal planlar aracılığıyla mediastene yayılması sonucu oluşan mediastinit tipidir. Bu enfeksiyon nadir görülür ve yüksek oranda fatal seyreder. Bilgisayarlı tomografi tanı ve tedavinin izleminde sıklıkla kullanılır. Tanıda gecikme ve yeteriz tedavi mortalitenin temel nedenleridir. Bu yazıda başarılı bir şekilde tedavi edilen odontojenik kaynaklı DNM olgusu sunuldu.

Diş enfeksiyonunu izleyen desendan nekrotizan mediastinit ve mediastinal abse

Descending necrotising mediastinitis (DNM) is a type of mediastinitis caused by head and neck infections, which spreads to the mediastinum via the cervical fascial planes. This infection is a rarely reported but highly lethal infection. Computed tomography was used to diagnosis the disease and assess the efficacy of treatment. Delay in diagnosis and insufficient drainage of the mediastinum and deep neck infection are the main causes of mortality in DNM. We report on a case that was treated success fully, even if with a long, protracted course. J Clin Exp Invest 2012; 3(2): 287-289

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