Stamenković D, Randjelović T, Ivanović N
KBC Bezanijska Kosa, Beograd.
Acta Chir Iugosl. 2003;50(2):127-30. doi: 10.2298/aci0302127s.
We report case of 50-year-old female with mediastinitis due to tonsillitis. Mediastinitis was diagnosed after five days according to clinical signs, radiological examination and computerized tomography scan. The patient underwent mediastinal drainage through a cervical incision and bilateral thoracic drainage because of bilateral pleural empyema. Initial broad-spectrum antibiotic therapy was replaced with imipenem, amicacin and vancomycin after the bacteriological investigation revealed susceptibility to isolated acinetobacter spp, staphylococcus spp coagulase-negative, enterococcus and staphylococcus. After 46 days of hospitalization patient went home.
我们报告了一例50岁因扁桃体炎引发纵隔炎的女性病例。根据临床症状、放射学检查及计算机断层扫描，五天后确诊为纵隔炎。由于双侧胸膜积脓，患者通过颈部切口进行了纵隔引流及双侧胸腔引流。细菌学调查显示分离出的不动杆菌属、凝固酶阴性葡萄球菌属、肠球菌和葡萄球菌敏感后，初始的广谱抗生素治疗被亚胺培南、丁胺卡那霉素和万古霉素取代。住院46天后患者出院回家。
