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Descending Necrotizing Mediastinitis

Year 2016, Volume: 2 Issue: 1, 1 - 6, 01.01.2016
https://doi.org/10.5455/umj.20151214013947

Abstract

Mediastinitis is an infection of the mediastinal connective tissue and surrounding structures, the course of which can be serious and lethal. Descending necrotizing mediastinitis DNM is one of the most lethal forms of mediastinitis. It occurs as a result of a complication of cervical necrotizing fasciitis resulting from infections in the floor of the mouth or the cervical region and spreads to the mediastinum through the fascial planes without primary skin or muscle involvement. Necrosis and tissue damage develops from the infection spreading from this region through the fascial and deep cervical planes. It can lead mortality, if not prevented at the early stage. When early diagnosis is delayed, surgical drainage and debridement may be required.

References

  • Estrera AS et al. Descending necrotizing mediastinitis. Surg Gynecol Obstet 157;545:1983.
  • Mihos P, Potaris K, Gakidis I, Papadakis D, Rallis G. Management of descending necrotizing mediastinitis. J Oral Maxillofac Surg ;62:966–72. Mitjans MS, Sanchıs JB, Padro XB, Garcıa I, Garolera JM, Garay MR. Descending necrotizing mediastinitis. Int Surg 2000;85:331–5.
  • Novellans S, Kechabtia K, Chevallier P, Sedat J, Bruneton JN. Descending necrotizing mediastinitis: a rare pathology to keep in mind. Clin Imag 2005;29:138–40.
  • Harar RP, Cranston C, Warwick-Brown N. Descending necrotizing mediastinitis: report of case following steroid neck injection. J Laryngol Otol 2002;116:862–4.
  • Kiernan PD, Hernandez A, Byrne WD, Bloom R, Dicicco B, Hetrick V, et al. Descending cervical mediastinitis Ann Thorac Surg ;65:1483–8.
  • Chow AW. Deep neck space infections. http://www.uptodate. com/contents/deep-neck-space-infections. Cirino LM, Elias FM, Almeida JL. Descending mediastinitis: a review Sao Paulo. Med J 2006;124:285–90.
  • Smith JK, Armao DM, Specter BB, Castillo M. Danger space infection: infection of the neck leading to descending necrotizing mediastinitis. Emerg Radiol 1999;6:129–32.
  • Weaver E, Nguyen X, Brooks MA. Descending necrotising mediastinitis: two case reports and review of the literature. Eur Respir Rev 2010;19:141–9.
  • Headley AJ. Necrotizing soft tissue infections: a primary care review. Am Fam Phys 2003;68:323–8.
  • Brook I, Frazier EH. Clinical and microbiological features of necrotisiting fasciitis. J Clin Microbiol 1995;33:2382–7.
  • Scaglione M, Pinto A, Romano S, Giovine S, Sparano A, Romano L. Determining optimum management of descending necrotizing mediastinitis with CT: experience with 32 cases. Emerg Radiol ;11:275–80. Becker M, Zbaren P, Hermans R, Becker CD, Marchal F, Kurt AM, et al. Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. Radiology 1997;202:471–6.
  • Bono G, Argo A, Zerbo S, Triolo V, Procaccianti P. Cervical necrotizing fasciitis and descending necrotizing mediastinitis in a patient affected by neglected peritonsillar abscess: a case of medical negligence. J Forensic Leg Med 2008;15:391–4.
  • Michael J, Liptay JM, Kim AW. Diagnosis and staging of lung cancer. In: Shields TW, LoCicero J, Reed CE, Feins RH, Editors. General Thoracic Surgery. 7th Edition. Philadelphia: Lippincott Williams & Wilkins; The Mediastinum, Acute and Chronic Mediastinal Infections, 2009. p. 2183–94.
  • Beriot G, Tomasini A, Gioffi V, et al. Fatal streptococcus viridans descending mediastinitis. Case report and review of the literature. Eur j Emerg Med 1997;4:11.
Year 2016, Volume: 2 Issue: 1, 1 - 6, 01.01.2016
https://doi.org/10.5455/umj.20151214013947

Abstract

References

  • Estrera AS et al. Descending necrotizing mediastinitis. Surg Gynecol Obstet 157;545:1983.
  • Mihos P, Potaris K, Gakidis I, Papadakis D, Rallis G. Management of descending necrotizing mediastinitis. J Oral Maxillofac Surg ;62:966–72. Mitjans MS, Sanchıs JB, Padro XB, Garcıa I, Garolera JM, Garay MR. Descending necrotizing mediastinitis. Int Surg 2000;85:331–5.
  • Novellans S, Kechabtia K, Chevallier P, Sedat J, Bruneton JN. Descending necrotizing mediastinitis: a rare pathology to keep in mind. Clin Imag 2005;29:138–40.
  • Harar RP, Cranston C, Warwick-Brown N. Descending necrotizing mediastinitis: report of case following steroid neck injection. J Laryngol Otol 2002;116:862–4.
  • Kiernan PD, Hernandez A, Byrne WD, Bloom R, Dicicco B, Hetrick V, et al. Descending cervical mediastinitis Ann Thorac Surg ;65:1483–8.
  • Chow AW. Deep neck space infections. http://www.uptodate. com/contents/deep-neck-space-infections. Cirino LM, Elias FM, Almeida JL. Descending mediastinitis: a review Sao Paulo. Med J 2006;124:285–90.
  • Smith JK, Armao DM, Specter BB, Castillo M. Danger space infection: infection of the neck leading to descending necrotizing mediastinitis. Emerg Radiol 1999;6:129–32.
  • Weaver E, Nguyen X, Brooks MA. Descending necrotising mediastinitis: two case reports and review of the literature. Eur Respir Rev 2010;19:141–9.
  • Headley AJ. Necrotizing soft tissue infections: a primary care review. Am Fam Phys 2003;68:323–8.
  • Brook I, Frazier EH. Clinical and microbiological features of necrotisiting fasciitis. J Clin Microbiol 1995;33:2382–7.
  • Scaglione M, Pinto A, Romano S, Giovine S, Sparano A, Romano L. Determining optimum management of descending necrotizing mediastinitis with CT: experience with 32 cases. Emerg Radiol ;11:275–80. Becker M, Zbaren P, Hermans R, Becker CD, Marchal F, Kurt AM, et al. Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. Radiology 1997;202:471–6.
  • Bono G, Argo A, Zerbo S, Triolo V, Procaccianti P. Cervical necrotizing fasciitis and descending necrotizing mediastinitis in a patient affected by neglected peritonsillar abscess: a case of medical negligence. J Forensic Leg Med 2008;15:391–4.
  • Michael J, Liptay JM, Kim AW. Diagnosis and staging of lung cancer. In: Shields TW, LoCicero J, Reed CE, Feins RH, Editors. General Thoracic Surgery. 7th Edition. Philadelphia: Lippincott Williams & Wilkins; The Mediastinum, Acute and Chronic Mediastinal Infections, 2009. p. 2183–94.
  • Beriot G, Tomasini A, Gioffi V, et al. Fatal streptococcus viridans descending mediastinitis. Case report and review of the literature. Eur j Emerg Med 1997;4:11.
There are 14 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Ahmet Ulusan

İbrahim Koc This is me

Publication Date January 1, 2016
Published in Issue Year 2016 Volume: 2 Issue: 1

Cite

Vancouver Ulusan A, Koc İ. Descending Necrotizing Mediastinitis. ULUTAS MED J. 2016;2(1):1-6.