Piperno D, Gaussorgues P, Léger P, Gérard M, Boyer F, Tigaud S, Pignat J C, Robert D
Service de Réanimation et d'Assistance respiratoire, Hôpital de la Croix-Rousse, Lyon.
Presse Med. 1987 Nov 14;16(38):1889-90.
In 4 cases of mediastinitis caused by anaerobes and consecutive to dental abscess (2 cases), perforation of the oesophagus and tonsillar abscess, the diagnosis was based on widening of the mediastinum associated, in 2 cases, with pneumomediastinum. II all 4 cases, Bacteroides fragilis was present among other germs. Treatment consisted of surgical drainage by thoracotomy (2 cases), or cervicotomy and antibiotic therapy. Two of the patients, who were old and had underlying diseases, died.
在4例由厌氧菌引起且继发于牙源性脓肿（2例）、食管穿孔和扁桃体脓肿的纵隔炎病例中，诊断依据是纵隔增宽，其中2例伴有纵隔积气。在所有4例病例中，除其他细菌外均存在脆弱拟杆菌。治疗包括开胸手术引流（2例）或颈部切开引流及抗生素治疗。2例年老且有基础疾病的患者死亡。
