Descending Necrotizing Mediastinitis Caused by Yeast: A case report.
- Author:
Young cul YOON
1
;
Kwang hyun CHO
;
Sung Ryong KIM
;
Hee jae JUN
;
Kang Joo CHOI
;
Yang haeng LEE
;
Yoon ho HWANG
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea. ppcsyoon@hanmail.net
- Publication Type:Case Report
- Keywords:
Mediastinitis;
Necrosis;
Yeast
- MeSH:
Abscess;
Adult;
Chest Tubes;
Debridement;
Diagnosis;
Drainage;
Emergency Service, Hospital;
Fever;
Humans;
Mediastinitis*;
Mediastinum;
Mortality;
Neck;
Necrosis;
Thorax;
Yeasts*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(4):386-389
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Descending nectorizing mediastinitis (DNM) represents a virulent form of mediastinal infection requiring prompt diagnosis and treatment to reduce the high morbidity mortality associated with this disease. Intr.avenous broad-spectrum antibiotic therapy alone is not efficient without adequate surgical drainage of the cervical and mediastinal collections, extensive debridement and excision of necrotic tissue, and wide mediastino-pleural irrigation. A 38-year-old man admitted via emergency room with painful left neck swelling and uncontrolled high fever. Chest computed tomogram showed left paratracheal abscess descending into the superior and anterior mediastinum. Transcervical mediastinal drainage was performed with 26 Fr. chest tube and left paratracheal drainage was performed with Penrose drain in urgency. Culture and sensitivity test grew Yeast. The drains removed via gradually shortening on day 39 after surgery.
