A Case of Descending Necrotizing Mediastinitis in a Previously Healthy Child
Descending necrotizing mediastinitis (DNM) is a rare complication of oropharyngeal and cervical infection, especially in children. We report a case of DNM secondary to a cervical abscess in a previously healthy 1-year-old boy. The patient presented with redness and swelling of the neck and fever. He...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2021/3159092 |
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| author | Toshihiko Okumura Nobuyuki Tetsuka Makoto Yamaguchi Takako Suzuki Yuka Torii Jun-ichi Kawada Yoshinori Ito |
| author_facet | Toshihiko Okumura Nobuyuki Tetsuka Makoto Yamaguchi Takako Suzuki Yuka Torii Jun-ichi Kawada Yoshinori Ito |
| author_sort | Toshihiko Okumura |
| collection | DOAJ |
| description | Descending necrotizing mediastinitis (DNM) is a rare complication of oropharyngeal and cervical infection, especially in children. We report a case of DNM secondary to a cervical abscess in a previously healthy 1-year-old boy. The patient presented with redness and swelling of the neck and fever. He was treated with an antimicrobial agent for the diagnosis of cervical lymphadenitis. On the sixth day, a huge mediastinal abscess was found, and he was admitted to the intensive care unit. He was successfully treated with surgical drainage and appropriate antimicrobial therapy. The pus culture isolated multiple bacteria, including methicillin-resistant Staphylococcus aureus (MRSA). Although we did not use an antimicrobial agent covering MRSA, the symptoms and test results improved. Washing with drainage was effective. The patient required multidisciplinary treatment, and we collaborated with specialists in other departments. DNM is a severe disease in which team medical care is needed to provide appropriate treatment. |
| format | Article |
| id | doaj-art-2a9c8ea786ba4d3d841e25296d8b99f2 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-2a9c8ea786ba4d3d841e25296d8b99f22025-02-03T05:47:38ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/31590923159092A Case of Descending Necrotizing Mediastinitis in a Previously Healthy ChildToshihiko Okumura0Nobuyuki Tetsuka1Makoto Yamaguchi2Takako Suzuki3Yuka Torii4Jun-ichi Kawada5Yoshinori Ito6Department of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Infectious Disease, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDescending necrotizing mediastinitis (DNM) is a rare complication of oropharyngeal and cervical infection, especially in children. We report a case of DNM secondary to a cervical abscess in a previously healthy 1-year-old boy. The patient presented with redness and swelling of the neck and fever. He was treated with an antimicrobial agent for the diagnosis of cervical lymphadenitis. On the sixth day, a huge mediastinal abscess was found, and he was admitted to the intensive care unit. He was successfully treated with surgical drainage and appropriate antimicrobial therapy. The pus culture isolated multiple bacteria, including methicillin-resistant Staphylococcus aureus (MRSA). Although we did not use an antimicrobial agent covering MRSA, the symptoms and test results improved. Washing with drainage was effective. The patient required multidisciplinary treatment, and we collaborated with specialists in other departments. DNM is a severe disease in which team medical care is needed to provide appropriate treatment.http://dx.doi.org/10.1155/2021/3159092 |
| spellingShingle | Toshihiko Okumura Nobuyuki Tetsuka Makoto Yamaguchi Takako Suzuki Yuka Torii Jun-ichi Kawada Yoshinori Ito A Case of Descending Necrotizing Mediastinitis in a Previously Healthy Child Case Reports in Pediatrics |
| title | A Case of Descending Necrotizing Mediastinitis in a Previously Healthy Child |
| title_full | A Case of Descending Necrotizing Mediastinitis in a Previously Healthy Child |
| title_fullStr | A Case of Descending Necrotizing Mediastinitis in a Previously Healthy Child |
| title_full_unstemmed | A Case of Descending Necrotizing Mediastinitis in a Previously Healthy Child |
| title_short | A Case of Descending Necrotizing Mediastinitis in a Previously Healthy Child |
| title_sort | case of descending necrotizing mediastinitis in a previously healthy child |
| url | http://dx.doi.org/10.1155/2021/3159092 |
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