Descending mediastinitis managed by sternotomy, taurolidine and delayed closure

Descending necrotizing mediastinitis is a rare complication of upper respiratory infections. A quick diagnosis and prompt and complete surgical drainage is important for a successful outcome. A 74-year-old man with descending necrotizing mediastinitis needed a sternotomy, multiple washouts, and dela...

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Veröffentlicht in:	Asian cardiovascular & thoracic annals 2013-10, Vol.21 (5), p.612-614
Hauptverfasser:	Iyer, Anand P, Kugathasan, Gana, Prabha, Ramesh, Malik, Paras, Kuteyi, Opeyemi, Larbalestier, Robert
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anti-Infective Agents, Local - administration & dosage Combined Modality Therapy Drainage Empyema, Pleural - diagnosis Empyema, Pleural - microbiology Empyema, Pleural - therapy Humans Male Mediastinitis - diagnosis Mediastinitis - microbiology Mediastinitis - therapy Necrosis Peritonsillar Abscess - diagnosis Peritonsillar Abscess - microbiology Peritonsillar Abscess - therapy Retropharyngeal Abscess - diagnosis Retropharyngeal Abscess - microbiology Retropharyngeal Abscess - therapy Sternotomy Taurine - administration & dosage Taurine - analogs & derivatives Therapeutic Irrigation Thiadiazines - administration & dosage Time Factors Tomography, X-Ray Computed Treatment Outcome Wound Closure Techniques Wound Healing
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Beschreibung
Zusammenfassung:	Descending necrotizing mediastinitis is a rare complication of upper respiratory infections. A quick diagnosis and prompt and complete surgical drainage is important for a successful outcome. A 74-year-old man with descending necrotizing mediastinitis needed a sternotomy, multiple washouts, and delayed sternal closure.
ISSN:	0218-4923 1816-5370
DOI:	10.1177/0218492312459045