Successful Outcome of Mediastinitis After 26 Days Delay in Diagnosis
نویسندگان
چکیده
Acute mediastinitis, which is characterized by inflammation of thoracic tissues, is a life-threatening infection and a surgical emergency. The mortality rate for this ailment is reported between 14-42%, which makes it important to diagnose and treat as soon as possible. We presented and discussed a case of a 38-year-old male patient with blunt trauma to the chest and back from falling who reported to the emergency department after 26 days with severe chest pain and a toxic condition. He underwent an anterolateral thoracotomy and several rounds of pleural flushing; ultimately, he survived.
منابع مشابه
مدیاستینیت حاد نکروزان: گزارش سری چهارتایی بیماران
Background: Acute Necrotizing Mediastinitis (ANM) is a lethal disease that without antibiotic therapy and surgical Intervention has a mortality rate about 40% in best medical centers. With development of imaging technology (spiral CT- Scan) and shortening in time of diagnosis and surgery, the outcome and prognosis of the patients are improved. The surgical modalities are trans- cervical and tra...
متن کاملDaptomycin as supportive treatment option in patients developing mediastinitis after open cardiac surgery
BACKGROUND Mediastinitis is a severe complication after cardiac surgery. While improvement of prophylaxis and of medical and surgical therapy has reduced its incidence, the treatment of mediastinitis continues to be a challenging problem. Within this study, we report the successful use of daptomycin as supportive therapy in patients developing mediastinitis after open cardiac surgery. METHODS...
متن کاملTime Delay and Associated Factors in Diagnosis and Treatment of Pulmonary Tuberculosis in Markazi Province
Introduction: Delay in the diagnosis of tuberculosis increases the risk of death and enhances the transmission of disease in the community. This study aims to determine the patient and health service delay and factors affecting it in tuberculosis diagnosis. Materials & Methods: A cross-sectional survey that included all the public health centers was conducted in Markazi province from March 200...
متن کاملSuccessful management of acute necrotizing mediastinitis with trans-cervical drainage.
Acute necrotizing mediastinitis (ANM) is a lethal disease which without antibiotic therapy and surgical intervention can lead to about 40% mortality. With the development of imaging technology, spiral computed tomography (CT) scanning and shortening of the time of diagnosis and surgery, the prognosis of these patients is excellently improved. This study describes the clinical presentation, mana...
متن کاملCervical necrotising fasciitis and descending mediastinitis secondary to unilateral tonsillitis: a case report
INTRODUCTION Cervical necrotizing fasciitis is an aggressive infection with high morbidity and mortality. We present a case of cervical necrotizing fasciitis and descending mediastinitis in a healthy young man, caused by unilateral tonsillitis with a successful outcome without aggressive debridement. CASE PRESENTATION A 41-year-old man was admitted to our unit with a diagnosis of severe acute...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 14 شماره
صفحات -
تاریخ انتشار 2014