Descending necrotizing mediastinitis

Novellas, S.; Kechabtia, K.; Chevallier, Philippe; Sédat, Jacques; Bruneton, J.N.

doi:10.1016/j.clinimag.2004.10.001

Cited by 21 publications

(1 citation statement)

References 5 publications

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“…The results depend on the degree of infection and the presence of pre-existing systemic diseases, such as HIV and diabetes 28. The causes of death are various, including septic shock, respiratory failure, and gastrointestinal bleeding 29…”

Section: Discussionmentioning

confidence: 99%

Descending necrotizing mediastinitis secondary to a dental infection

Oliveira¹,

Moreira²,

Cavalcante³

2012

ACR

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Descending necrotizing mediastinitis is a rare type of deep infection of the soft tissues of the face, originating from cervical and oral infections, typically dental infections. It is associated with high mortality, due to its high invasive potential and the fact that the diagnosis is often delayed. We report the case of a 42-year-old female patient presenting with severe trismus, fever, purulent intraoral drainage, dysphagia, and dysphonia, accompanied by edema and redness in the cervical region. She was diagnosed with necrotizing descending mediastinitis secondary to a dental infection after the extraction of a mandibular third molar. The patient underwent surgical drainage and intravenous antibiotic therapy. Despite the development of septicemia, the evolution was favorable and the patient was discharged on post-admission day 20. Early and accurate diagnosis, together with prompt treatment, is imperative for better outcomes in this rare condition.

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Section: Discussionmentioning

confidence: 99%

Descending necrotizing mediastinitis secondary to a dental infection

Oliveira¹,

Moreira²,

Cavalcante³

2012

ACR

View full text Add to dashboard Cite

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CT features of descending necrotizing mediastinitis—a pictorial essay

et al. 2007

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Descending necrotizing mediastinitis (DNM) is a relatively rare condition caused by downward spread of neck infections into the mediastinum. This infection previously had a much worse prognosis. In recent years, prompt computer topography (CT) diagnosis has been recommended. CT scan provides the earliest means of detecting DNM for optimal management and early surgical intervention. This paper provides an illustrated summary of our extensive clinical experience with DNM, involving 36 documented cases with CT over a 5-year period.

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