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

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