Descending necrotizing mediastinitis and mediastinal abscesses following odontogenic infection: A case report

Abstract

Descending necrotising mediastinitis (DNM) is a type of mediastinitis caused by head and neck infections, which spreads to the mediastinum via the cervical fascial planes. This infection is a rarely reported but highly lethal infection. Computed tomography was used to diagnosis the disease and assess the efficacy of treatment. Delay in diagnosis and insufficient drainage of the mediastinum and deep neck infection are the main causes of mortality in DNM. We report on a case that was treated successfully, even if with a long, protracted course. J Clin Exp Invest 2012; 3(2): 287-289

Keywords

• Odontogenic infection, descending necrotising mediastinitis, mediastinal abscesses

Diş enfeksiyonunu izleyen desendan nekrotizan mediastinit ve mediastinal abse

Öz

Desendan nekrotizan mediastinit (DNM), baş ve boyun enfeksiyonlarının servikal fasiyal planlar aracılığıyla mediastene yayılması sonucu oluşan mediastinit tipidir. Bu enfeksiyon nadir görülür ve yüksek oranda fatal seyreder. Bilgisayarlı tomografi tanı ve tedavinin izleminde sıklıkla kullanılır. Tanıda gecikme ve yeteriz tedavi mortalitenin temel nedenleridir. Bu yazıda başarılı bir şekilde tedavi edilen odontojenik kaynaklı DNM olgusu sunuldu.

Anahtar Kelimeler

• Odontojenik enfeksiyon, desendan nekrotizan mediastinit, mediastinal apse

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