No abstract available.
Mediastinitis*

No abstract available.
Mediastinitis*

No abstract available.
Mediastinitis*

Subclavian catheter insertion is now widely used because of its technical feasibility and effectiveness, but some complications related to this procedure have been noted. We present here a rare surgical case of post central line insertion mediastinitis with no mechanical complication.
Catheters* ; Mediastinitis*

Acute mediastinitis and subsequent graft infection following aorta surgery poses a difficult problem, as infected synthetic material must be completely removed for resolution of infection. Here we report a case of successful management of acute mediastinitis following hemiarch replacement for acute aortic dissection with omental flap transfer leaving infected graft in situ.
Aorta ; Mediastinitis* ; Transplants

Humans ; Mediastinitis ; Tracheostomy ; Tracheotomy

OBJECTIVES: To report a case of acute tonsillitis that subsequently developed descending necrotizing mediastinitis, and to discuss the signs and symptoms, differential diagnosis, pathophysiology, diagnostic criteria, ancillary procedures and management.

METHODS:
Design: Case Report

Setting: Tertiary Private and Government Hospital

Patient: One

RESULTS:  A 36-year-old woman was admitted with a 2-day history of sore throat and a diagnosis of acute exudative tonsillitis. She complained of sore throat accompanied by dyspnea, neck and chest pain which rapidly progressed to mediastinitis. She was transferred to a tertiary government hospital where video assisted thoracoscopic surgery with bilateral deloculation,  mediastinoscopy and bronchoscopy revealed purulent discharge from the right main stem bronchus with multiloculated effusion in the left lung and posterolateral loculated effusion in the right lung. Her condition improved and she was discharged after a month of antibiotic therapy.

CONCLUSION: Acute tonsillitis seldom leads to a life-threatening complication such as mediastinitis. Descending necrotizing mediastinitis develops when acute tonsillar infection progresses and descends to the mediastinum. It is a surgical emergency which requires mediastinal drainage, thoracotomy and long-term antimicrobials. Clinicians who manage oropharyngeal infections should be aware of this rare but lethal complication which may occur even in non-immunocompromised individuals.

Perforation of the hypopharynx, which can occur after anterior cervical approach, is a very rare type of complication. If diagnosed late, it can lead to very fatal course, such as mediastinitis and hematosepsis. Therefore, a precise and prompt diagnosis is crucial. When conservative treatment alone is not expected to heal the perforated site or is likely to lead to serious complications, surgical treatment becomes necessary. This report demonstrates that surgical intervention performed immediately after an early diagnosis can lead to the successful treatment of a large perforation in the hypopharynx on a 58-year-old male patient.
Early Diagnosis ; Humans ; Hypopharynx ; Male ; Mediastinitis

Mediastinitis is a life-threatening disease, and effective drainage is needed to treat mediastinitis with abscess formation. We recommend an alternative drainage method using chest tube binding with a Silastic Penrose drainage tube. The use of a Silastic Penrose drainage tube may help to manage mediastinitis with abscess formation. This method facilitates effective draining and prevents tissue adhesion.
Abscess ; Chest Tubes ; Drainage* ; Mediastinitis* ; Tissue Adhesions

Deep neck space infections affect fascial compartments of the head and neck, and their contents. Acute mediastinitis occasionally occurs as a complication of neck infections resulting in neck sepsis, which spreads to the mediastinum via the cervical fascial planes, and this is best referred to as descending necrotizing mediastinitis (DNM). We recently experienced two cases of deep neck infection dissecting along cervical fascial planes into the mediastinum causing a virulent mediastinitis. Aggressive antibiotic treatment of the deep neck infections along with prompt complete mediastinal drainage are recommended for optimal outcome.
Drainage ; Head ; Mediastinitis ; Mediastinum ; Neck* ; Sepsis