Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 348-351, December 2009

Rare Type of Deep Neck Infection: Two Cases of Descending Necrotizing Mediastinitis

  • Shih-Ming Huang

      Affiliations

    • Department of Emergency Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • ,
  • Ren-Chieh Wu

      Affiliations

    • Department of Emergency Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • School of Medicine, Tzu Chi University, Hualien, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Emergency Medicine, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung-Yang Road, Hualien, Taiwan

Received 6 October 2008; received in revised form 28 October 2008; accepted 11 November 2008.

Abstract 

Descending necrotizing mediastinitis is a relatively uncommon complication of deep neck infections. Patients often have some type of immuno-compromised condition. Computed tomography is very helpful for early diagnosis. Poor prognosis is due to delays in diagnosis or inappropriate surgical drainage. We present two cases of descending necrotizing mediastinitis that was successfully treated because of early diagnosis and adequate surgical intervention.

Keywords:  Deep neck infection , Mediastinitis , Necrotizing fasciitis

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PII: S1016-3190(09)60070-7

doi:10.1016/S1016-3190(09)60070-7

Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 348-351, December 2009

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