H. Kabiri, M. Manesouri, M. Smahi, S. Al Aziz, A. El Meslout, A. Benosman
{"title":"坏死性下行纵隔炎。关于观察","authors":"H. Kabiri, M. Manesouri, M. Smahi, S. Al Aziz, A. El Meslout, A. Benosman","doi":"10.1016/S0001-4001(99)80099-3","DOIUrl":null,"url":null,"abstract":"<div><p>Descending necrotizing mediastinitis which may occur as a complication of neglected oropharynx infection is an uncommon disease, although it is lethal in most cases. Trismus and dyspnea are usual with palpable crepitation located in the cervico-thoracic area. Early diagnosis can be confirmed with accuracy by CT scan. Treatment is based on early mediastinal drainage by cervical approach, intravenous antibiotics and reanimation. The reported case had a favorable outcome.</p></div>","PeriodicalId":29786,"journal":{"name":"Chirurgie","volume":"124 3","pages":"Pages 313-317"},"PeriodicalIF":0.6000,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0001-4001(99)80099-3","citationCount":"1","resultStr":"{\"title\":\"La médiastinite descendante nécrosante. À propos d'une observation\",\"authors\":\"H. Kabiri, M. Manesouri, M. Smahi, S. Al Aziz, A. El Meslout, A. Benosman\",\"doi\":\"10.1016/S0001-4001(99)80099-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Descending necrotizing mediastinitis which may occur as a complication of neglected oropharynx infection is an uncommon disease, although it is lethal in most cases. Trismus and dyspnea are usual with palpable crepitation located in the cervico-thoracic area. Early diagnosis can be confirmed with accuracy by CT scan. Treatment is based on early mediastinal drainage by cervical approach, intravenous antibiotics and reanimation. The reported case had a favorable outcome.</p></div>\",\"PeriodicalId\":29786,\"journal\":{\"name\":\"Chirurgie\",\"volume\":\"124 3\",\"pages\":\"Pages 313-317\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"1999-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/S0001-4001(99)80099-3\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chirurgie\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0001400199800993\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chirurgie","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0001400199800993","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
La médiastinite descendante nécrosante. À propos d'une observation
Descending necrotizing mediastinitis which may occur as a complication of neglected oropharynx infection is an uncommon disease, although it is lethal in most cases. Trismus and dyspnea are usual with palpable crepitation located in the cervico-thoracic area. Early diagnosis can be confirmed with accuracy by CT scan. Treatment is based on early mediastinal drainage by cervical approach, intravenous antibiotics and reanimation. The reported case had a favorable outcome.