Harar R P S, Cranston C, Warwick-Brown N
Department of Otolaryngology-Head and Neck Surgery, Southend Hospital, Westcliff on Sea, UK.
J Laryngol Otol. 2002 Oct;116(10):862-4. doi: 10.1258/00222150260293745.
Cervical necrotizing fasciitis is a rare, rapidly progressive, severe bacterial infection of the soft tissues of the neck. Uncommonly, it may descend into the mediastinum. We describe a case of descending necrotizing mediastinitis in a young man, where there was diagnostic confusion and delay, with an eventual fatal outcome. A steroid injection for neck pain is thought to be the source of infection. In this case, the signs of mediastinitis were initially masked, and the diagnosis delayed until cardiopulmonary arrest occurred. Early recognition with a low threshold for computed tomography (CT) scanning is essential. Aggressive multidisciplinary therapy with mediastinal drainage is mandatory.
颈部坏死性筋膜炎是一种罕见的、进展迅速的、严重的颈部软组织细菌感染。罕见情况下，它可能蔓延至纵隔。我们描述了一名年轻男性发生下行性坏死性纵隔炎的病例，该病例存在诊断混淆和延误，最终导致死亡。颈部疼痛注射类固醇被认为是感染源。在该病例中，纵隔炎的体征最初被掩盖，诊断延迟至发生心肺骤停。早期识别并以较低阈值进行计算机断层扫描（CT）至关重要。积极的多学科治疗及纵隔引流是必要的。
