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Descending necrotizing mediastinitis in early childhood: favorable outcome after aggressive treatment.

作者信息

Dueñas Joaquín, García-Menor Emilia, Ibarra De La Rosa Ignacio, Granados Adoración, Antón Montserrat, Pérez-Navero Juan L

机构信息

Pediatric Critical Care, Reina Sofía Children's Hospital, Córdoba, Spain.

出版信息

Pediatr Crit Care Med. 2003 Oct;4(4):476-9. doi: 10.1097/01.PCC.0000074277.07221.38.

DOI:10.1097/01.PCC.0000074277.07221.38
PMID:14525646
Abstract

OBJECTIVE

To report a case of descending necrotizing mediastinitis (DNM), an unusual illness in childhood that develops as a complication of oropharyngeal infection.

DESIGN

Descriptive case report.

SETTING

Pediatric intensive care unit.

PATIENT

A 19-month-old boy with a DNM that resulted from a pharyngeal abscess.

INTERVENTIONS

Aggressive surgical debridement; intravenous therapy with broad-spectrum antibiotics.

MEASUREMENTS AND MAIN RESULTS

Simple chest radiograph and computed tomographic scan, and routine culture were used to assess the patient. Administration of broad-spectrum antibiotics and surgical drainage resulted in clinical resolution of symptoms.

CONCLUSIONS

An aggressive approach (broad-spectrum antibiotics and surgical debridement) can improve the prognosis of DNM in children.

摘要

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Descending necrotising mediastinitis: a rare entity in children.下行性坏死性纵隔炎：儿童中的一种罕见病症。
BMJ Case Rep. 2024 Mar 7;17(3):e258304. doi: 10.1136/bcr-2023-258304.
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Descending necrotising mediastinitis: two case reports and review of the literature.降发性坏死性纵隔炎：两例病例报告并文献复习。
Eur Respir Rev. 2010 Jun;19(116):141-9. doi: 10.1183/09059180.00001110.