Descending necrotizing mediastinitis: case report and literature review

Article Sidebar

PDF (Español (España))
Published: Oct 2, 2021
DOI: https://doi.org/10.37076/acorl.v49i3.640
Keywords:
mediastinitis, angina de Ludwig, absceso, toracoscopía Mediastinitis, odontogenic infections, Ludwig’s Angina, odontogenic abs, Thoracoscopy

Main Article Content

Melanie Alejandra Pérez Orbegozo
https://orcid.org/0000-0002-5175-8220
Adriana Paola Buitrago-Trujillo
Greissy Natalia Fernández
Alejandro Lora-Aguirre
Liliana María Suárez-Olarte
Julián Andrés Orrego-Colorado

Abstract

Odontogenic infections affect 80-90% of the population and can lead to potentially fatal complications such as descending necrotizing mediastinitis, acute polymicrobial infection in the mediastinum with a mortality rate between 11-40%. Early detection and appropriate treatment represent influential factors in the prognosis of the disease.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Pérez Orbegozo MA, Buitrago-Trujillo AP, Fernández GN, Lora-Aguirre A, Suárez-Olarte LM, Orrego-Colorado JA. Descending necrotizing mediastinitis: case report and literature review. Acta otorrinolaringol cir cabeza cuello [Internet]. 2021Oct.2 [cited 2024Dec.17];49(3):230 - 236. Available from: https://revista.acorl.org.co/index.php/acorl/article/view/640
Issue
Vol. 49 No. 3 (2021): Julio - Septiembre
Section
Reportes de Casos
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.

Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.

eISSN: 2539-0856

ISSN: 0120-8411

References

Soylu E, Erdil A, Sapmaz E, Somuk BT, Akbulut N. Mediastinitis as complication of odontogenic infection: A case

report. Niger J Clin Pract. 2019;22(6):869-71. doi: 10.4103/njcp.njcp_539_18

Tarelo-Saucedo J, Ruiz Funes-Molina AP, Meza-Carmona J,Miranda-Villasana JE. Mediastinitis necrosante descendente:

reporte de caso y revisión de la literatura. Cir Cardiov.2021;28(2):106-22. doi: 10.1016/j.circv.2020.05.005

Gaber Hassanein A, Mohamed EEH, Hazem M, El Sayed AESM. Assessment of Prognosis in Odontogenic Descending

Necrotizing Mediastinitis: A Longitudinal Retrospective Study. Surg Infect (Larchmt). 2020;21(8):709-15. doi: 10.1089/

sur.2019.302

Endo S, Murayama F, Hasegawa T, Yamamoto S, Yamaguchi T, Sohara Y, et al. Guideline of surgical management based on diffusion of descending necrotizing mediastinitis. Jpn J Thorac Cardiovasc Surg. 1999;47(1):14-9. doi: 10.1007/BF03217934

Guan X, Liang X, Liang X, Wang F, Qian W, Zhang W. A new classification of descending necrotizing mediastinitis

and surgical strategies. Ann Transl Med. 2021;9(4):356. doi:10.21037/atm-21-121

Buchholz, BM, Kania, A, Kaminski, M. Deszendierende nekrotisierende Mediastinitis. Chirurg, 2016;87:585-92. doi:

1007/s00104-015-0127-4

Little C. Ludwig’s angina. Dimens Crit Care Nurs.2004;23(4):153-4. doi: 10.1097/00003465-200407000-00003

Wasson J, Hopkins C, Bowdler D. Did Ludwig’s angina kill Ludwig? J Laryngol Otol. 2006;120(5):363-5. doi: 10.1017/

S0022215106000806

Vieira F, Allen SM, Stocks RM, Thompson JW. Deep neck infection. Otolaryngol Clin North Am. 2008;41(3):459-83, vii.

doi: 10.1016/j.otc.2008.01.002

Boscolo-Rizzo P, Marchiori C, Zanetti F, Vaglia A, Da Mosto MC. Conservative management of deep neck abscesses in adults: the importance of CECT findings. Otolaryngol Head Neck Surg. 2006;135(6):894-9. doi: 10.1016/j.otohns.2006.05.013

Lee JK, Kim HD, Lim SC. Predisposing factors of complicated deep neck infection: an analysis of 158 cases. Yonsei Med J.

;48(1):55-62. doi: 10.3349/ymj.2007.48.1.55

Wang LF, Kuo WR, Tsai SM, Huang KJ. Characterizations of life-threatening deep cervical space infections: a review of one hundred ninety-six cases. Am J Otolaryngol. 2003;24(2):111-7. doi: 10.1053/ajot.2003.31

Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum and management of deep neck space infections: an

-year experience of 234 cases. Otolaryngol Head Neck Surg. 2005;133(5):709-14. doi: 10.1016/j.otohns.2005.07.001

Papalia E, Rena O, Oliaro A, Cavallo A, Giobbe R, Casadio C, et al. Descending necrotizing mediastinitis: surgical management. Eur J Cardiothorac Surg. 2001;20(4):739-42. doi: 10.1016/s1010-7940(01)00790-4

Stalfors J, Adielsson A, Ebenfelt A, Nethander G, Westin T. Deep neck space infections remain a surgical challenge. A

study of 72 patients. Acta Otolaryngol. 2004;124(10):1191-6. doi: 10.1080/00016480410017864

Lin D, Reeck JB, Murr AH. Internal jugular vein thrombosis and deep neck infection from intravenous drug use:

management strategy. Laryngoscope. 2004;114(1):56-60. doi: 10.1097/00005537-200401000-00009

Paris JJ. Resuscitation decisions for “fetal infants”. Pediatrics. 2005;115(5):1415. doi: 10.1542/peds.2004-1950