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

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)499-502
頁數4
期刊American Journal of the Medical Sciences
334
發行號6
DOIs
出版狀態已發佈 - 十二月 2007
對外發佈

ASJC Scopus subject areas

  • 醫藥 (全部)

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