甲状腺肿复发手术后的暴发性纵隔炎：一例报告

Fulminant mediastinitis after goiter recurrence surgery: a case report.

作者信息

Rein Susanne, Mittag-Bonsch Martina

机构信息

University Hospital 'Carl Gustav Carus', Department of Trauma and Reconstructive Surgery, Fetscherstr, 74, 01307 Dresden, Germany.

出版信息

J Med Case Rep. 2010 Nov 17;4:364. doi: 10.1186/1752-1947-4-364.

DOI:10.1186/1752-1947-4-364

PMID:21083873

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2995798/

Abstract

INTRODUCTION

Necrotizing soft tissue infection is a life-threatening disease characterized by rapid progressive inflammation and necrosis of the subcutaneous and deep fascia with or without involvement of the adjacent muscles.

CASE PRESENTATION

We report the case of a 62-year-old Caucasian woman with goiter recurrence who underwent a right-sided hemithyroidectomy. Postoperatively, she developed fulminant mediastinitis caused by group A β-hemolytic streptococcus and septic shock. Our patient survived this rare life-threatening complication.

CONCLUSIONS

Initial atypical postoperative symptoms, such as personality changes or an unstable circulatory system, should lead a practitioner to consider the possibility of this severe complication and to begin therapy immediately.

摘要