Abscess of the mediastinum: A case report

Non-traumatic anterior mediastinal abscess in childhood

“…This varied from drainage by a suprasternal approach,[10] supraclavicular approach,[1] right-sided thoracocentesis,[8] catheter drainage by a subxiphoid approach,[13] multiple ultrasound-guided needle aspirations,[7] to CT-guided parasternal drainage. [6] No case reported earlier in the literature needed thoracotomy for drainage and it has been suggested that thoracotomy is unnecessary for draining MA in the pediatric population and should be avoided to prevent thoracic wall and hemithoracic spread.…”

“…[1] MA due to a non-traumatic etiology is extremely rare in childhood and usually results either from direct extension along contiguous anatomic pathways and fascial planes like pulmonary/pleural and buccopharyngeal areas, osteomyelitis of the ribs or vertebrae, or by hematogenous or lymphatic spread from distant sites of infection. [2] This report describes a boy who presented with abscesses in the left axilla and over the right thigh, along with right pleural empyema and pericardial effusion.…”

Gasbildende Anaerobierinfektion des Halses

“…Neben diesen Wirtsfaktoren ist jedoch die synergistische Konstellation der Mischflora aus aeroben und anaeroben Keirnen entscheidend für die Aggressivität der EntzUndung [7, 13,16,25], da in 5-7% aller Halsweichteilinfektionen potentielle Gasbildner nachgewiesen werden können, ohne da es zur Gasbildung kommt [1,15,29]. Die nekrotisierende Fasciitis des Halses stellt wie das Lemierre-Syndrom (postangmnOse Sepsis) eine schwerwiegende tonsillogene oder dentogene Komplikation dar [21,23], die in der Mehrzahl der in der Literatur beschriebenen FäIle letal verläuft.…”