Descending necrotizing mediastinitis with sternocostoclavicular osteomyelitis and partial thoracic empyema: report of a case
We present herein the case of a 50-year-old woman in whom descending necrotizing mediastinitis originating from an anterior neck abscess spread to the left upper bony thorax, resulting in osteomyelitis of the left sternocostoclavicular articulation and left partial thoracic empyema. Transcervical me...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 1999-01, Vol.29 (12), p.1287-1289 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Sonobe, M Miyazaki, M Nakagawa, M Ikegami, N Suzumura, Y Nagasawa, M Shindo, T |
| description | We present herein the case of a 50-year-old woman in whom descending necrotizing mediastinitis originating from an anterior neck abscess spread to the left upper bony thorax, resulting in osteomyelitis of the left sternocostoclavicular articulation and left partial thoracic empyema. Transcervical mediastinal irrigation and drainage was performed with aggressive antibiotic therapy, followed by resection of the left sternocostoclavicular joint and debridement of the anterior mediastinum. The patient had an uneventful postoperative course, and her left arm and shoulder mobility was well preserved. |
| doi_str_mv | 10.1007/BF02482226 |
| format | Article |
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Transcervical mediastinal irrigation and drainage was performed with aggressive antibiotic therapy, followed by resection of the left sternocostoclavicular joint and debridement of the anterior mediastinum. The patient had an uneventful postoperative course, and her left arm and shoulder mobility was well preserved.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/BF02482226</identifier><identifier>PMID: 10639715</identifier><language>eng</language><publisher>Japan</publisher><subject>Abscess - complications ; Abscess - therapy ; Anti-Bacterial Agents ; Combined Modality Therapy ; Debridement - methods ; Drainage - methods ; Drug Therapy, Combination - administration & dosage ; Empyema, Pleural - etiology ; Empyema, Pleural - physiopathology ; Empyema, Pleural - therapy ; Female ; Follow-Up Studies ; Humans ; Mediastinitis - etiology ; Mediastinitis - physiopathology ; Mediastinitis - therapy ; Middle Aged ; Neck ; Necrosis ; Osteomyelitis - etiology ; Osteomyelitis - physiopathology ; Osteomyelitis - therapy ; Radionuclide Imaging ; Staphylococcal Infections - diagnosis ; Staphylococcal Infections - therapy ; Sternoclavicular Joint - diagnostic imaging ; Sternoclavicular Joint - pathology ; Sternoclavicular Joint - surgery ; Treatment Outcome</subject><ispartof>Surgery today (Tokyo, Japan), 1999-01, Vol.29 (12), p.1287-1289</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c312t-d4cfe355d61af538badb97d362ba98e25a52f2b430ca53ef3318830dafcdf10f3</citedby><cites>FETCH-LOGICAL-c312t-d4cfe355d61af538badb97d362ba98e25a52f2b430ca53ef3318830dafcdf10f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10639715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sonobe, M</creatorcontrib><creatorcontrib>Miyazaki, M</creatorcontrib><creatorcontrib>Nakagawa, M</creatorcontrib><creatorcontrib>Ikegami, N</creatorcontrib><creatorcontrib>Suzumura, Y</creatorcontrib><creatorcontrib>Nagasawa, M</creatorcontrib><creatorcontrib>Shindo, T</creatorcontrib><title>Descending necrotizing mediastinitis with sternocostoclavicular osteomyelitis and partial thoracic empyema: report of a case</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><description>We present herein the case of a 50-year-old woman in whom descending necrotizing mediastinitis originating from an anterior neck abscess spread to the left upper bony thorax, resulting in osteomyelitis of the left sternocostoclavicular articulation and left partial thoracic empyema. Transcervical mediastinal irrigation and drainage was performed with aggressive antibiotic therapy, followed by resection of the left sternocostoclavicular joint and debridement of the anterior mediastinum. The patient had an uneventful postoperative course, and her left arm and shoulder mobility was well preserved.</description><subject>Abscess - complications</subject><subject>Abscess - therapy</subject><subject>Anti-Bacterial Agents</subject><subject>Combined Modality Therapy</subject><subject>Debridement - methods</subject><subject>Drainage - methods</subject><subject>Drug Therapy, Combination - administration & dosage</subject><subject>Empyema, Pleural - etiology</subject><subject>Empyema, Pleural - physiopathology</subject><subject>Empyema, Pleural - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Mediastinitis - etiology</subject><subject>Mediastinitis - physiopathology</subject><subject>Mediastinitis - therapy</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Necrosis</subject><subject>Osteomyelitis - etiology</subject><subject>Osteomyelitis - physiopathology</subject><subject>Osteomyelitis - therapy</subject><subject>Radionuclide Imaging</subject><subject>Staphylococcal Infections - diagnosis</subject><subject>Staphylococcal Infections - therapy</subject><subject>Sternoclavicular Joint - diagnostic imaging</subject><subject>Sternoclavicular Joint - pathology</subject><subject>Sternoclavicular Joint - surgery</subject><subject>Treatment Outcome</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1Lw0AURQdRbK1u_AEyKxdCdD6SNHGn1apQcKPr8DLzxo4kmTgzVSr-eFMr6OrdB4cL9xByzNk5Z2x6cT1nIi2EEPkOGfNU5okouNwlY1amPOGi5CNyEMIr22CM7ZMRZ7kspzwbk68bDAo7bbsX2qHyLtrPTW5RWwjRdjbaQD9sXNIQ0XdOuRCdauDdqlUDng4vunaNzQ8InaY9-GihoXHpPCirKLb9Glu4pB575yN1hgJVEPCQ7BloAh793gl5nt8-ze6TxePdw-xqkSjJRUx0qgzKLNM5B5PJogZdl1Mtc1FDWaDIIBNG1KlkCjKJRkpeFJJpMEobzoyckNNtb-_d2wpDrFo7rG4a6NCtQpWXKcvkVA7g2RYcRITg0VS9ty34dcVZtXFd_bke4JPf1lU96PqHbuXKb90cfTQ</recordid><startdate>19990101</startdate><enddate>19990101</enddate><creator>Sonobe, M</creator><creator>Miyazaki, M</creator><creator>Nakagawa, M</creator><creator>Ikegami, N</creator><creator>Suzumura, Y</creator><creator>Nagasawa, M</creator><creator>Shindo, T</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990101</creationdate><title>Descending necrotizing mediastinitis with sternocostoclavicular osteomyelitis and partial thoracic empyema: report of a case</title><author>Sonobe, M ; Miyazaki, M ; Nakagawa, M ; Ikegami, N ; Suzumura, Y ; Nagasawa, M ; Shindo, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c312t-d4cfe355d61af538badb97d362ba98e25a52f2b430ca53ef3318830dafcdf10f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Abscess - complications</topic><topic>Abscess - therapy</topic><topic>Anti-Bacterial Agents</topic><topic>Combined Modality Therapy</topic><topic>Debridement - methods</topic><topic>Drainage - methods</topic><topic>Drug Therapy, Combination - administration & dosage</topic><topic>Empyema, Pleural - etiology</topic><topic>Empyema, Pleural - physiopathology</topic><topic>Empyema, Pleural - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Mediastinitis - etiology</topic><topic>Mediastinitis - physiopathology</topic><topic>Mediastinitis - therapy</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>Necrosis</topic><topic>Osteomyelitis - etiology</topic><topic>Osteomyelitis - physiopathology</topic><topic>Osteomyelitis - therapy</topic><topic>Radionuclide Imaging</topic><topic>Staphylococcal Infections - diagnosis</topic><topic>Staphylococcal Infections - therapy</topic><topic>Sternoclavicular Joint - diagnostic imaging</topic><topic>Sternoclavicular Joint - pathology</topic><topic>Sternoclavicular Joint - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sonobe, M</creatorcontrib><creatorcontrib>Miyazaki, M</creatorcontrib><creatorcontrib>Nakagawa, M</creatorcontrib><creatorcontrib>Ikegami, N</creatorcontrib><creatorcontrib>Suzumura, Y</creatorcontrib><creatorcontrib>Nagasawa, M</creatorcontrib><creatorcontrib>Shindo, T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sonobe, M</au><au>Miyazaki, M</au><au>Nakagawa, M</au><au>Ikegami, N</au><au>Suzumura, Y</au><au>Nagasawa, M</au><au>Shindo, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Descending necrotizing mediastinitis with sternocostoclavicular osteomyelitis and partial thoracic empyema: report of a case</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><addtitle>Surg Today</addtitle><date>1999-01-01</date><risdate>1999</risdate><volume>29</volume><issue>12</issue><spage>1287</spage><epage>1289</epage><pages>1287-1289</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>We present herein the case of a 50-year-old woman in whom descending necrotizing mediastinitis originating from an anterior neck abscess spread to the left upper bony thorax, resulting in osteomyelitis of the left sternocostoclavicular articulation and left partial thoracic empyema. Transcervical mediastinal irrigation and drainage was performed with aggressive antibiotic therapy, followed by resection of the left sternocostoclavicular joint and debridement of the anterior mediastinum. The patient had an uneventful postoperative course, and her left arm and shoulder mobility was well preserved.</abstract><cop>Japan</cop><pmid>10639715</pmid><doi>10.1007/BF02482226</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0941-1291 |
| ispartof | Surgery today (Tokyo, Japan), 1999-01, Vol.29 (12), p.1287-1289 |
| issn | 0941-1291 1436-2813 |
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| subjects | Abscess - complications Abscess - therapy Anti-Bacterial Agents Combined Modality Therapy Debridement - methods Drainage - methods Drug Therapy, Combination - administration & dosage Empyema, Pleural - etiology Empyema, Pleural - physiopathology Empyema, Pleural - therapy Female Follow-Up Studies Humans Mediastinitis - etiology Mediastinitis - physiopathology Mediastinitis - therapy Middle Aged Neck Necrosis Osteomyelitis - etiology Osteomyelitis - physiopathology Osteomyelitis - therapy Radionuclide Imaging Staphylococcal Infections - diagnosis Staphylococcal Infections - therapy Sternoclavicular Joint - diagnostic imaging Sternoclavicular Joint - pathology Sternoclavicular Joint - surgery Treatment Outcome |
| title | Descending necrotizing mediastinitis with sternocostoclavicular osteomyelitis and partial thoracic empyema: report of a case |
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