Tratamiento quirúrgico de la mediastinitis necrosante descendente

Lara, Clara Isabel Bayarri; López, Sebastián Sevilla; Ramos, A. Sánchez-Palencia; Martínez, Amira Alkourdi; Escobar, Francisco Hernández; Valenzuela, Florencio Quero; Zafra, Francisco Javier Ruiz; Guevara, Antonio Cueto Ladrón de

doi:10.1016/j.ciresp.2012.11.012

Cited by 7 publications

(1 citation statement)

References 20 publications

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“…Detecting this condition early is crucial to avoid severe complications. It is usually treated by surgically draining of mediastinal collections 4. While there have been reports of DNM in adults, there have been very few cases reported in children 5 6.…”

Section: Introductionmentioning

confidence: 99%

Descending necrotising mediastinitis: a rare entity in children

Marques,

Rato,

Miguéis

et al. 2024

BMJ Case Rep

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We present a case of descending necrotising mediastinitis (DNM) originating from a retropharyngeal abscess in a healthy early childhood patient. The patient had a history of fever, odynophagia and refusal to eat, followed by rapid deterioration of the clinical state. Cervicothoracic CT was performed, which revealed a right parapharyngeal abscess, extending to the mediastinum and occupying the retropharyngeal/visceral space, with gaseous content throughout this collection, associated with bilateral pleural effusion, aspects compatible with DNM. She started broad-spectrum antibiotic therapy and transoral drainage of the parapharyngeal and retropharyngeal collections was performed under general anaesthesia. She was admitted to the intensive care unit. The patient showed clinical, analytical and imaging improvement, having been transferred to the ear, nose and throat department, with favourable evolution. Early diagnosis of DNM by cervicothoracic CT and multidisciplinary approaches, including intensive care, broad-spectrum antibiotics and surgical intervention, are crucial to minimise the morbidity and mortality.

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Section: Introductionmentioning

confidence: 99%

Descending necrotising mediastinitis: a rare entity in children

Marques,

Rato,

Miguéis

et al. 2024

BMJ Case Rep

View full text Add to dashboard Cite

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Descending necrotizing mediastinitis: Systematic review on its treatment in the last 6 years, 75 years after its description

2016

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Deszendierende nekrotisierende Mediastinitis

Buchholz

Kania

Kaminski

2016

Chirurg

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Rapid diagnosis, anatomical knowledge, understanding of the progression of infections as well as critical care, antimicrobial treatment and multidisciplinary radical surgical therapy are paramount for successful treatment of DNM. We favor anterolateral thoracotomy as the standard open transthoracic approach to the mediastinum. Placement of cervico-mediastino-thoracic irrigation drains can help to limit DNM.

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Tratamiento quirúrgico de la mediastinitis necrosante descendente

Cited by 7 publications

References 20 publications

Descending necrotising mediastinitis: a rare entity in children

Descending necrotising mediastinitis: a rare entity in children

Descending necrotizing mediastinitis: Systematic review on its treatment in the last 6 years, 75 years after its description

Deszendierende nekrotisierende Mediastinitis

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