2001
DOI: 10.1590/s0102-35862001000500007
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Abstract: A angina de Ludwig é uma infecção do espaço submandibular originada, em geral, da infecção do 2 º ou 3 º molar inferior. Como conseqüência, pode causar mediastinite descendente necrosante, que representa uma forma grave e rara de infecção mediastinal, a qual exige diagnóstico precoce e tratamento cirúrgico para reduzir a alta mortalidade associada a esta doença. resultando em um quadro clínico grave descrito como mediastinite descendente necrosante (MDN). A demora no diagnóstico e a drenagem imprópria são as p… Show more

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Cited by 8 publications
(17 citation statements)
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“…DNM can be classified as an acute or chronic process, with the acute type being more aggressive and symptomatic. It is important to start the diagnostic investigation by the physical evaluation associated with vital signs accompanied by thoraciccervical imaging and laboratorial tests such as complete blood count and blood culture [4,5]. CT scans can demonstrate increases in cardiac and mediastinal boss [6,7] as well as evidence of lung collections characteristic of pleural effusion and pericardial effusion, when circumscribed to the cardiac area.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…DNM can be classified as an acute or chronic process, with the acute type being more aggressive and symptomatic. It is important to start the diagnostic investigation by the physical evaluation associated with vital signs accompanied by thoraciccervical imaging and laboratorial tests such as complete blood count and blood culture [4,5]. CT scans can demonstrate increases in cardiac and mediastinal boss [6,7] as well as evidence of lung collections characteristic of pleural effusion and pericardial effusion, when circumscribed to the cardiac area.…”
Section: Discussionmentioning
confidence: 99%
“…The presence of unilateral pleural and pericardial effusion was also evidenced, for which the surgical access for anterolateral thoracotomy was performed. This is the most recommended surgical approach for deep surgical treatment in cases of DNM [2,5], although there are other options such as bithoracotomy and median sternotomy, which present the disadvantage of high risk of suture dehiscence and osteomyelitis [9,10]. The clinical-surgical therapy should include maintenance of the airways, elimination of the etiological factor, drainage of the deep cervical/thoracic spaces and broadspectrum antibiotic therapy [1,8].…”
Section: Discussionmentioning
confidence: 99%
“…La mediastinitis presenta una tasa de mortalidad del 67 %, para disminuir dicha tasa es necesario un tratamiento quirúrgico. 18,19 La fascitis necrotizante aguda se caracteriza por grandes necrosis y formación de gas situados en la zona del tejido celular subcutáneo y en la fascia superficial. Es una afectación de los músculos y la piel, dando lugar a una mionecrosis y manchas en la zona que vienen dadas por la trombosis de los vasos alimentarios que pasan a través de las fascias infectadas.…”
Section: Complicacionesunclassified
“…(3) Inflammation of the mediastinum may have several causes, chief among which are median sternotomy (3,5) and esophageal perforation (Boerhaave's syndrome, dilatations, foreign bodies, etc. ), (7)(8)(9)(10) as well as head and neck suppurations such as peritonsillar abscesses, deep cervical abscesses, etc. (4,(11)(12) Other less common causes include pleural empyema, osteomyelitis of the vertebrae and ribs, retroperitoneal abscesses and subphrenic abscesses.…”
Section: Introductionmentioning
confidence: 99%
“…(9) Various complications have been described in cases of acute mediastinitis, including renal insufficiency, respiratory insufficiency, sepsis and pleural empyema. (5,8) Within this context, our objective was to study the epidemiological and clinical aspects of acute mediastinitis in order to better understand the disease. In addition, we evaluated the efficacy of the treatments proposed.…”
Section: Introductionmentioning
confidence: 99%