Abstract
Descending necrotizing mediastinitis which may occur as a complication of neglected oropharynx infection is an uncommon disease, although it is lethal in most cases. Trismus and dyspnea are usual with palpable crepitation located in the cervico-thoracic area. Early diagnosis can be confirmed with accuracy by CT scan. Treatment is based on early mediastinal drainage by cervical approach, intravenous antibiotics and reanimation. The reported case had a favorable outcome.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adult
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Amoxicillin / therapeutic use
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Anti-Bacterial Agents / therapeutic use
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Clavulanic Acid / therapeutic use
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Drainage
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Drug Therapy, Combination / therapeutic use
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Female
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Gentamicins / therapeutic use
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Humans
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Mediastinitis* / diagnosis
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Mediastinitis* / therapy
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Penicillins / therapeutic use
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Radiography, Thoracic
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Tomography, X-Ray Computed
Substances
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Anti-Bacterial Agents
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Gentamicins
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Penicillins
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Clavulanic Acid
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Amoxicillin