Acute descending necrotizing mediastinitis as a complication of the retropharyngeal abscess caused by anaerobes

Authors

  • Ilijaz Pilav Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Orhan Čustović Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0001-5784-6910
  • Arijana Horman-Leventa Clinic of Anaesthesiology and Intensive Care, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0002-5526-2759
  • Alma Alihodžić-Pašalić Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0001-5950-4148
  • Safet Mušanović Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Alen Pilav Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0003-2630-8532
  • Kemal Grbić Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0001-5950-4148
  • Kenan Kadić Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Meho Dapčević Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0003-4045-4333
  • Ademir Hadžismailović Clinic of Thoracic Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Amela Katica-Mulalić Clinic of Anaesthesiology and Intensive Care, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina

DOI:

https://doi.org/10.17532/jhsci.2020.1041

Keywords:

Descending necrotizing mediastinitis, mediastinum, retropharyngeal abscess, posterolateral thoracotomy

Abstract

Descending necrotizing mediastinitis (DNM) is a rare, life-threatening form of mediastinitis caused by odontogenic, pharyngeal, or cervical infections. The retropharyngeal space is the most common primary site of infection. Given the fulminant course and high mortality rate, early diagnosis and prompt treatment are important predictors of survival in patients with DNM. Appropriate empirical antibiotic treatment, prompt surgical intervention, and proper management of patients in the intensive care unit can be of vital importance. We present the case of a previously healthy 20-year-old male patient who was successfully cured and discharged from the Clinical Center University of Sarajevo after suffering from a severe form of mediastinitis as a complication of the retropharyngeal abscess caused by anaerobes.

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Published

2020-12-30

How to Cite

Pilav, I., Čustović, O., Horman-Leventa, A. ., Alihodžić-Pašalić, A. ., Mušanović, S., Pilav, A. ., Grbić, K. ., Kadić, K. ., Dapčević, M. ., Hadžismailović, A. ., & Katica-Mulalić, A. (2020). Acute descending necrotizing mediastinitis as a complication of the retropharyngeal abscess caused by anaerobes. Journal of Health Sciences, 10(3), 248–252. https://doi.org/10.17532/jhsci.2020.1041

Issue

Section

Case reports