Rapidly propagating descending necrotizing mediastinitis as a consequence of intravenous drug use

Yen Yue Lin, Chin Wang Hsu, Shi Jye Chu, Shin Chieh Chen, Shih Hung Tsai

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Descending necrotizing mediastinitis (DNM) is a devastating complication of cervical or odontogenic infections that can spread downward to the mediastinum through anatomic spaces. We report the case of an intravenous drug user who presented with rapidly propagating acute pericarditis and DNM as the early presentations of pyomyositis of the sternocleidomastoid muscle and deep neck infection. The patient was successfully treated with antibiotics and surgical drainage. Clinicians should be aware that pathogens injected into the carotid sheath may spread to the mediastinum and/or pericardium and manifest as DNM and/or pericarditis prior to infectious signs and symptoms at the site of injection.

Original languageEnglish
Pages (from-to)499-502
Number of pages4
JournalAmerican Journal of the Medical Sciences
Volume334
Issue number6
DOIs
Publication statusPublished - Dec 2007
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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