Descending Necrotizing Mediastinitis Caused by Yeast: A case report / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 386-389, 2004.
Article
in Korean
| WPRIM
| ID: wpr-219226
ABSTRACT
Descending nectorizing mediastinitis (DNM) represents a virulent form of mediastinal infection requiring prompt diagnosis and treatment to reduce the high morbidity mortality associated with this disease. Intr.avenous broad-spectrum antibiotic therapy alone is not efficient without adequate surgical drainage of the cervical and mediastinal collections, extensive debridement and excision of necrotic tissue, and wide mediastino-pleural irrigation. A 38-year-old man admitted via emergency room with painful left neck swelling and uncontrolled high fever. Chest computed tomogram showed left paratracheal abscess descending into the superior and anterior mediastinum. Transcervical mediastinal drainage was performed with 26 Fr. chest tube and left paratracheal drainage was performed with Penrose drain in urgency. Culture and sensitivity test grew Yeast. The drains removed via gradually shortening on day 39 after surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thorax
/
Yeasts
/
Chest Tubes
/
Drainage
/
Mortality
/
Debridement
/
Diagnosis
/
Abscess
/
Emergency Service, Hospital
/
Fever
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2004
Type:
Article
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