Descending necrotizing mediastinitis after a trigger point injection
Clinical and Experimental Emergency Medicine
;
(4): 182-185, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-646623
ABSTRACT
Descending necrotizing mediastinitis (DNM) is a rare form of mediastinal infection. Most cases are associated with esophageal rupture. DNM after a trigger point injection in the upper trapezius has not been described previously. We present a case of DNM after a trigger point injection in the upper trapezius. A 70-year-old man visited the emergency department with chest discomfort and fever after a trigger point injection in the left upper trapezius. Chest computed tomography showed evidence of DNM, and antibiotic therapy was immediately administered intravenously. Because of the risk of sudden death, poor prognosis due to underlying disease, and his age, he declined surgical treatment and died of septic shock. Although trigger point injections are generally considered safe, caution should be used in patients with an underlying disease or in the elderly. Early diagnosis, broad-spectrum antibiotics, and aggressive surgical management are essential to improve the prognosis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Ruptura
/
Choque Séptico
/
Tórax
/
Tomografia Computadorizada por Raios X
/
Morte Súbita
/
Diagnóstico Precoce
/
Serviço Hospitalar de Emergência
/
Pontos-Gatilho
/
Febre
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Clinical and Experimental Emergency Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo
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