Descending necrotizing mediastinitis secondary to periodontal infection. Case report and review
DOI:
https://doi.org/10.53591/rug.v109i4.369Keywords:
Mediastinum, Mediastinitis, Descending Necrotizing Mediastinitis, Periodontal Infection, NeckAbstract
Descending necrotizing mediastinitis is an acute disease with high mortality. It is a primary complication of cervical or dental infection that spreads to the mediastinum under through facial anatomical spaces, in some cases this complication is secondary to the spread of infection from other sites or trauma, the causes are grouped into 4 categories: esophageal perforation, infection of head and neck infection originated elsewhere and cardiothoracic surgery. The most common causein our population is the dental followed by upper respiratory tract infections. Currently improved treatment and reduced mortality, due to the understanding of its pathophysiology and anatomical areas involved, but depends on the diagnosis and treatment against orocervical infectious processesin the new preventive dental care system should not exist in theory but neglect the patient, benignlesions may be complicated by fatal injuries. A patiente of the Sistema Hospitalario Docente de la Universidad De Guayaquil will be presented.
References
Falcone M, Pompeo ME, Pavoni GL, et al. Successful conservative treatment of descending necrotizing mediastinitis with fistula formation in the hipopharynx. Infect Dis Clin Prac 2005;13;36-38
KingT, Smith C. Pared torácica, pleura, pulmón y mediastino. In: Schwartz S, editor. Principios de cirugía 6ta ed. México: Interamericana McGraw-Hill; 1995;pp.794-796.
Makeieff M, Gresillon N, Berthet JP, et al. Management of descending necrotizing mediastinitis. Laryngoscope 2004; 114:772-5
Manual de Medicina Intensiva. Montejo y cols. Ed Harcourt. 2ªed. 2000. Cap 8.6. p 355- 362
Marty-Ané CH, Berthet JP, Alric P, et al. Management of descending necrotizing mediastinitis: an aggressivetreatment for an aggressive disease. Ann Thorac Surg 1999;68:212-7.
Mora R. Descending necrotizing mediastinitis: Ten mediastinitis: classification and management. Ann years’experience. Ear N & Throat J; Nov 2004: Thorac Surg 1996; 61: 1030-6. 774-80.
Pérez RA, Cueto RG, De la Escosura RG, Cisero SR. Mediastinitis necrosante descendente. Resultado del tratamiento médico-quirúrgico en 17 casos. Gac Med Mex 2003;139:199-204.
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0. International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.