Acute Mediastinitis

Pierce, Tada B.; Razzuk, Maruf A.; Razzuk, Linda M.; Luterman, David L.; Sutker, William L.

doi:10.1080/08998280.2000.11927639

Cited by 12 publications

(20 citation statements)

References 8 publications

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“…Acute mediastinitis is a serious, intractable situation that is associated with high fatality rates. 11,12 For our patient, the degree of infl ammation was not high and her postoperative recovery was smooth, which appears to indicate that her acute mediastinitis was caused by chemical autolysis by tumor tissue enzymes rather than by infection. The patient underwent successful tumor resection, and there has been no evidence of tumor recurrence.…”

Section: Discussionmentioning

confidence: 62%

Mediastinal teratoma complicated with acute mediastinitis

Suzuki

Koh

Hoshino

et al. 2010

Gen Thorac Cardiovasc Surg

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We report a case of a mediastinal teratoma associated with acute mediastinitis that required an emergency operation. These tumors cause a variety of complications, but reports of acute mediastinitis are rare. A 24-year-old woman was admitted to our hospital for complaints of chest pain and fever and was subsequently diagnosed as having an anterior mediastinal tumor. Follow-up computed tomography showed rapidly progressing acute mediastinitis, which was diagnosed as a perforation of the teratoma. We performed emergency surgical extirpation of the tumor and mediastinal drainage. The histopathologic diagnosis was a mature teratoma that included pancreatic tissue. Although the apparent site of the rupture was not obvious, there was a wide area of acute inflammation in the mediastinal adipose tissue. The patient did well and was discharged from the hospital without major complications.

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Section: Discussionmentioning

confidence: 62%

Mediastinal teratoma complicated with acute mediastinitis

Suzuki

Koh

Hoshino

et al. 2010

Gen Thorac Cardiovasc Surg

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“…Mediastinitis is an uncommon and life-threatening pathology (Burnett, 1990;Pierce, 2000). The mediastinum divides the thoracic cavity in two lateral parts and contains the thoracic part of the esophagus and trachea, the pericardial sac, lymph nodes, blood vessels and nerves.…”

Section: Immune-mediated Hemolytic Anemia Associated With Chronic Fibmentioning

confidence: 99%

“…These connect the left and right pleural cavities, which explains why pleural infections are often bilateral in the horse (Barone, 1966). In horses and humans, mediastinal infections are seen secondary to perforations of the thoracic esophagus or spreading of infection from the head and neck area along the fascial planes causing descending necrotizing mediastinitis (Pierce, 2000;Scaglione et al, 2007;Roman et al, 2015;Sumi, 2015;Choe, 2017;Sanchez, 2018). In human medicine, mediastinitis is often described after thoracic surgery.…”

Section: Immune-mediated Hemolytic Anemia Associated With Chronic Fibmentioning

confidence: 99%

“…In human medicine, mediastinitis is often described after thoracic surgery. In horses and humans, primary respiratory tract infections rarely extend to the mediastinum (Pierce, 2000;Griffin, 2002). Primary mediastinitis is rare in humans (Pierce, 2000).…”

Section: Immune-mediated Hemolytic Anemia Associated With Chronic Fibmentioning

confidence: 99%

“…In horses and humans, primary respiratory tract infections rarely extend to the mediastinum (Pierce, 2000;Griffin, 2002). Primary mediastinitis is rare in humans (Pierce, 2000). Some cases of Staphylococci-and Streptococci-associated purulent mediastinitis and mediastinal abscesses have been reported in humans and horses primary of unknown origin or secondary to bacteriemia, pleuritis, strangles (Shishido et al, 1997;Griffin, 2002;Chang et al, 2009;Kouritas et al, 2012;Waller et al, 2014).…”

Section: Immune-mediated Hemolytic Anemia Associated With Chronic Fibmentioning

confidence: 99%

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Immuungemedieerde hemolytische anemie geassocieerd met chronisch fibroserende mediastinitis bij een Arabo-Fries paard

Ribonnet¹,

Saey²,

Ducatelle³

et al. 2019

Vlaams Diergeneeskundig Tijdschrift

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In this report, a ten-year-old gelding with immune-mediated hemolytic anemia associated with chronic fibrosing mediastinitis of unknown origin is described. The patient suffered from chronic weight loss and intermittent diarrhea for already several months. He was presented with severe anemia, anorexia and fever of a 24-hour onset. A direct Coombs test was highly positive for IgG auto-agglutination. No evidence of an underlying process was found on clinical examination. Post-mortem examination revealed green liquid material containing food particles in the cranial mediastinum and histology suggested chronic fibrosing mediastinitis. Even though perforation of the esophagus is a plausible cause, no signs of esophageal rupture were noted on macroscopic examination. This case shows that non-responsive, immune-mediated hemolytic anemia can be due to an undetected underlying disease, such as chronic mediastinitis.

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Mediastinitis

Brcic¹

2018

Encyclopedia of Pathology

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Acute Mediastinitis

Cited by 12 publications

References 8 publications

Mediastinal teratoma complicated with acute mediastinitis

Mediastinal teratoma complicated with acute mediastinitis

Immuungemedieerde hemolytische anemie geassocieerd met chronisch fibroserende mediastinitis bij een Arabo-Fries paard

Mediastinitis

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