Abstract
Both the descending necrotizing mediastinitis (DNM) and the pericardial empyema are rare but life threatening situations, in which rapid aggressive surgical approach is important for the outcome. A 37-year-old man presented with reduced general health and new establishment of thoracal pain after an infection in the oropharyngeal region. The dissemination of the infection into the mediastinum (mediastinitis) diagnosed by clinic and radiography required surgical intervention. A pericardial empyema was detected intraoperatively. The patient was discharged home on the 14 (th) hospital day.
Publication types
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Case Reports
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Comparative Study
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Chest Pain / etiology
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Empyema / etiology*
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Empyema / surgery
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Follow-Up Studies
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Haemophilus Infections / complications*
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Haemophilus Infections / drug therapy
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Haemophilus influenzae*
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Heart Diseases / etiology*
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Heart Diseases / surgery
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Humans
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Male
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Mediastinitis / diagnostic imaging
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Mediastinitis / etiology*
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Mediastinitis / surgery
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Oropharynx*
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Pericardial Effusion / etiology*
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Pericardial Effusion / surgery
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Pericardiectomy
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Pharyngeal Diseases / complications*
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Radiography, Thoracic
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Time Factors
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Tomography, X-Ray Computed
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Treatment Outcome