Kujath P, Scheele J, Esnaashari H, Shekarriz H, Bouchard R
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.
Mycoses. 2005;48 Suppl 1:18-21. doi: 10.1111/j.1439-0507.2005.01105.x.
Fungal infections of the mediastinum are rare. There are five forms to be differentiated: (i) hematogenous fungal infection of the mediastinum after fungemia; (ii) postoperative fungal infection after cardiosurgical sternotomy; (iii) as special form of a descending necrotizing fasciitis; (iv) infection of the mediastinum per continuitatem; (v) fungal infection of the posterior mediastinum after esophageal perforation. In the surgical department, University of Schleswig-Holstein, Campus Lübeck, five patients with a fungal mediastinitis were treated during a period of 10 years. Three patients suffered from a descending mediastinitis, one patient from a fungal infection after pseudarthrosis of the sternum (postoperatively after cardiosurgery). The section results of one other patient with pulmonary aspergillosis showed a complete invasion of the mediastinum by Aspergillus fumigatus.
纵隔真菌感染较为罕见。有五种类型需要鉴别：（i）真菌血症后纵隔的血源性真菌感染；（ii）心脏外科胸骨切开术后的术后真菌感染；（iii）作为下行性坏死性筋膜炎的特殊形式；（iv）经连续性纵隔感染；（v）食管穿孔后后纵隔真菌感染。在石勒苏益格 - 荷尔斯泰因大学吕贝克校区外科，10年间共治疗了5例真菌性纵隔炎患者。3例患者患有下行性纵隔炎，1例患者因胸骨假关节（心脏手术后）后出现真菌感染。另1例肺曲霉病患者的切片结果显示烟曲霉完全侵袭了纵隔。
