Ciodaro Francesco, Gazia Francesco, Galletti Bruno, Galletti Francesco
Department of Adult and Development Age Human Pathology 'Gaetano Barresi', Unit of Otorhinolaryngology, Universita degli Studi di Messina, Messina, Italy.
BMJ Case Rep. 2019 Jul 10;12(7):e229873. doi: 10.1136/bcr-2019-229873.
We present a case of an odontogenic abscess, first spreading at the lateral cervical level and then in mediastinum. We isolated an anaerobic bacterium, , rarely documented in literature. The mortality rates of cervical abscesses secondary to odontogenic infections and complicated by mediastinitis vary from 10% to 40%. Treatment of descending mediastinitis involves multidisciplinary teams such as otorhinolaryngology, thoracic surgeons, infectious disease physicians, anesthetists and intensivists. Due to the combined treatment with surgical drainage within 48 hours of hospitalisation, antibiotics and subsequent hyperbaric oxygen therapy, we have achieved complete recovery of the patient.
我们报告一例牙源性脓肿病例，最初在颈部外侧扩散，随后蔓延至纵隔。我们分离出一种厌氧菌， ，文献中鲜有记载。牙源性感染继发颈部脓肿并伴有纵隔炎的死亡率在10%至40%之间。下行性纵隔炎的治疗需要多学科团队参与，如耳鼻喉科、胸外科医生、传染病医生、麻醉师和重症监护医生。由于在住院48小时内联合进行手术引流、使用抗生素以及随后的高压氧治疗，我们使患者完全康复。
