Iyer S.; Collum J.; Babores M; Ear Nose and Throat; March 2014

Descending necrotizing mediastinitis: A conservative approach
Citation: Ear, Nose and Throat Journal, March 2014, vol./is. 93/3(E11), 0145-5613 (March 2014)
Author(s): Iyer S.; Collum J.; Babores M.


Descending necrotizing mediastinitis (DNM) is a now-rare complication of dental and pharyngeal infections. Reports in the literature have emphasized the need for early, aggressive surgical intervention. We present a case of DNM with bilateral empyemas that arose secondary to a perforated pharyngeal abscess. The patient was successfully managed conservatively with intravenous antibiotics and intercostal drainage. We conclude that conservative management with antibiotics and image-guided percutaneous
pleural drainage may be initially appropriate for the stable patient.

Publication Type: Journal: Article

Source: EMBASE

Full Text: Available from ProQuest in Ear, Nose and Throat Journal
Available from EBSCOhost in ENT: Ear, Nose & Throat Journal

Latest modules from BMJ Learning: communication skills

Extract from BMJ Learning

Many symptoms of cancer are non-specific, which makes diagnosis difficult. Cancers in childhood are rare and there are also potential barriers to communication during consultations. These are just some of the problems in this field – this module will help you overcome them. It highlights the potential difficulties with diagnosing children and young people with osteosarcomas and brain tumours, outlines red flag symptoms, and suggests approaches to addressing potential barriers to communication. See the link below.

bmj learningDiagnosing osteosarcomas and brain tumours in children: communication skills – in association with the Department of Health

Also in this week’s edition are some modules on ENT disorders. They give an important update on a range of common dilemmas.

Ear discharge: diagnosis and treatment

Hoarseness: diagnostic picture tests

Nasal symptoms: diagnostic picture tests

The tympanic membrane: diagnostic picture tests

Neck lumps: diagnostic picture tests