Rahim MAHMODLOU, Rahman ABBASIVASH

Successful treatment of descending necrotizing mediastinitis with hemorrhagic complication

Desendan nekrotizan mediastinit boyundan başlayıp mediastene yayılan nadir ve ölümcül bir mediasten infeksiyonudur. Hastanın kurtarılmasını sağlayan anahtar noktalar erken tanı, agresif drenaj ve komplikasyonların dikkatli bir şekilde tedavisidir. Odontojenik kökenli, hemorajik komplikasyon gelişen ve başarılı bir şekilde tedavi edilen desendan nekrotizan mediastinit olgusunu sunuyoruz.

Hemorajik komplikasyon gelişen desendan nekrotizan mediastinitin başarılı tedavisi

Descending necrotizing mediastinitis is a rare and fatal infection of mediastinum that begins in the neck and spreads to the mediastinum. The key points of patient salvage are early diagnosis, aggressive drainage, and meticulous handling of comp lications. We present a case of descending necrotizing mediastinitis with odontogenic origin and with hemorrhagic complication that successfully treated.

PDF

___

1. Takao M, Ido M, Hamaguchi K, et al. Descending necrotizing mediastinitis secondary to a retropharyngeal abscess. Eur Respir J doi: 10.1183/09031936.94.07091716.
2. Hirai S, Hamanaka Y, Mitsui N, et al. Surgical treatment of virulent descending necrotizing mediastinitis. Ann Thorac Cardiovasc Surg 2004; 10: 34-8.
3. Iwata T, Sekine Y, Shibuya K, et al. Early open thoracotomy and mediastinopleural irrigation for severe descending necrotizing mediastinitis. Eur J Cardiothorac Surg 2005; 28: 384-8.
4. Novellas S, Kechabtia K, Chevallier P, et al. Descending necrotizing mediastinitis: a rare pathology to keep in mind. Clin Imaging 2005; 29: 138-40.
5. Yamasaki Y, Nishi J, Nishikama T, et al. Descending necrotizing mediastinitis secondary to retropharyngeal abscess in a child. J Infect Chemother doi: 10.1007/s10156- 008-0606-3.
6. Liptay M, Kanaan S. Acute and chronic mediastinal infections. In: Shields TW, Locicero III J, Ponn RB, Rusch VW (eds). General Thoracic Surgery. 6th ed. Philadelphia: Lippincott Williams and Wilkins, 2005: 2477-88.