4,719 results match your criteria Mediastinitis
Ann Cardiothorac Surg 2018 Sep;7(5):663-672
Division of Cardiac Surgery, Boston University School of Medicine, Boston, MA, USA.
Bilateral internal thoracic artery (BITA) grafting may prolong survival in coronary artery bypass graft (CABG) patients, but its use has been curtailed due to concerns of deep sternal wound infections (DSWI) resulting in mediastinitis. This article examines the association of single internal thoracic artery (SITA) and BITA grafting and the role of harvesting techniques with the development of DSWI in CABG patients. The development of DSWI following BITA grafting is multifactorial and is independent of the harvesting technique. Read More
J Coll Physicians Surg Pak 2018 Dec;28(12):972-973
Department of Cardiovascular, Gaziosmanpasa University, Tokat, Turkey.
We herein report a case of late diagnosed thoracic esophageal perforation. A 60-year-old man was diagnosed as an esophageal perforation with mediastinitis and pericardial abscess by detailed history taking, chest computed tomography, esophagoscopy and inflammatory findings in his blood test. Surgical drainage of mediastinum and pericardium was able to effectively control infectious process and pericardial fibrosis. Read More
Medicine (Baltimore) 2018 Nov;97(48):e13422
Department of Gastroenterology, The Fifth Affiliated Hospital of Wenzhou Medical University.
Rationale: Most of esophageal rupture is a very serious life-threatening benign gastrointestinal tract disease with high mortality. However, there are a few cases of spontaneous esophageal rupture during gastroscopy.
Patient Concerns: A 57-year-old man who underwent a routine diagnostic gastroscopy due to food obstruction was reported. Read More
Am J Otolaryngol 2019 Jan - Feb;40(1):67-69. Epub 2018 Oct 22.
Division of Head and Neck Surgery, Department of Ophthalmology, Otolaryngology, Head and Neck Surgery, Ribeirao Preto Medical School, University of Sao Paulo, Brazil. Electronic address:
Purpose: Parathyroidectomy can be subtotal or total with an autograft for the treatment of renal hyperparathyroidism. In both cases, it may be extended with bilateral thymectomy and total or partial thyroidectomy. Thymectomy may be recommended in combination with parathyroidectomy in order to prevent mediastinal recurrence. Read More
Br J Oral Maxillofac Surg 2018 Nov 20. Epub 2018 Nov 20.
Department of Otolaryngology, Chiang Mai University Hospital, Chiang Mai, 50200, Thailand. Electronic address:
We retrospectively studied the clinical features, complications, and outcomes of deep neck infections in 31 adult patients with the human immunodeficiency virus (HIV) (HIV group) and 192 patients without (non-HIV group). In the HIV group, the cause was more likely to be odontogenic (21 (68%) compared with 90 (47%); odds ratio (OR) 2.38; 95% CI 1. Read More
Emerg Med Clin North Am 2019 Feb;37(1):95-107
Department of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson Street MC A-108, Loma Linda, CA 92354, USA. Electronic address:
Infection of the neck is a relatively common emergency department complaint. If not diagnosed and managed promptly, it may quickly progress to a life-threatening infection. These infections can result in true airway emergencies that may require fiberoptic or surgical airways. Read More
Ann Thorac Surg 2018 Nov 14. Epub 2018 Nov 14.
Istanbul University, Istanbul Medical Faculty, Department of Thoracic Surgery.
In this case report, we present a patient with mediastinal fibrosis. The mass lesion was expanding from the mediastinum to the cervical region and surrounding the major vascular structures. The patient has symptomatic dyspnea at rest and pulmonary hypertension due to stenosis of the bilateral main pulmonary arteries (PA). Read More
J Forensic Sci 2018 Nov 16. Epub 2018 Nov 16.
Istituto di Sanità Pubblica, sezione di Medicina Legale, Università Cattolica del Sacro Cuore, Largo F. Vito 1, 00168, Roma, Italy.
History of neck trauma should be promptly investigated in patients with severe infections of the chest as mediastinitis. We present a forensic case of a death due to a mediastinitis in a patient with an undetected fracture of the superior horn of the thyroid cartilage that was exclusively revealed at autopsy examination. Histological analyses of the neck tissues showed signs of pharyngeal mucosal microperforation caused by the fracture and surrounded by an inflammatory reaction. Read More
Clin Pract Cases Emerg Med 2018 Nov 8;2(4):297-299. Epub 2018 Oct 8.
University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland.
A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his workup revealed mediastinitis with osteomyelitis of the manubrium and clavicles, a surgical emergency. Read More
Ther Clin Risk Manag 2018 17;14:2013-2017. Epub 2018 Oct 17.
Department of General Internal Medicine 4, Kawasaki Medical School, Okayama, Japan,
A 26-year-old man with right lower mandibular and chest pain, fever, and respiratory distress was urgently transported to our hospital. CT images revealed gas collection and an abscess from the neck to the mediastinum with bilateral pleural effusion. Descending necrotizing mediastinitis (DNM) induced by an odontogenic infection of a right mandibular molar abscess was diagnosed. Read More
Infection 2018 Nov 11. Epub 2018 Nov 11.
Department of Medicine III (Interdisciplinary Medical Intensive Care), Medical Center, University of Freiburg, Freiburg, Germany.
Introduction: Broncho-esophageal fistula formation is a rare complication of tuberculosis, most often seen in immunocompromised patients.
Methods And Results: In this paper, we report the case of a young non-immunocompromised refugee from Somalia diagnosed with open pulmonary tuberculosis complicated by extensive osseous involvement and a broncho-esophageal fistula with consecutive aspiration of gastric contents. The patient rapidly developed a severe acute respiratory distress syndrome (ARDS) requiring venovenous extracorporeal membrane oxygenation (ECMO) therapy for nearly 2 months. Read More
Ann Thorac Med 2018 Oct-Dec;13(4):226-229
Department of Cardiothoracic Surgery, Limoges Teaching Hospital, Limoges, France.
Context: To date, there is no gold standard technique for sternum replacement. Current techniques rely on metallic prosthesis, meshes and bars, or bone grafts. However, they have several pitfalls. Read More
Ann Thorac Cardiovasc Surg 2018 Nov 7. Epub 2018 Nov 7.
Department of Thoracic and Cardiovascular Surgery, University Hospital RWTH Aachen, Germany.
Purpose: Timing and ideal reconstructive approach in deep sternal wound infection (DSWI) and mediastinitis still remain controversially debated. We present our own combined surgical strategy of bilateral pectoralis major muscle flap (BPMMF) or omental flap (OF) transposition.
Methods: Between July 2010 and July 2016, poststernotomy patients with DSWI and mediastinitis underwent a secondary wound closure with modified BPMMF (Group A, center for disease control class (CDC)-II, n = 21; Group B, CDC-III, n = 20) or with OF (Group C, CDC-III, n = 19) following vacuum-assisted closure (VAC). Read More
Curr Rheumatol Rep 2018 Nov 5;20(12):80. Epub 2018 Nov 5.
Nephrology Unit, Parma University Hospital, Parma, Italy.
Purpose Of Review: We aim to review traditional concepts and recent developments on the nosology, pathophysiology, clinical phenotypes and treatment of chronic periaortitis (CP).
Recent Findings: CP is a rare disorder hallmarked by a periaortic fibro-inflammatory tissue. It can present as an isolated disease, but it can also be associated with other autoimmune and fibro-inflammatory lesions (e. Read More
J Heart Lung Transplant 2018 Oct 16. Epub 2018 Oct 16.
Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany; Department of Cardiothoracic Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
J Vasc Interv Radiol 2018 Nov 2. Epub 2018 Nov 2.
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905.
Purpose: To identify whether symptom relief and stent patency vary with use of long-term anticoagulation after stent placement for benign superior vena cava (SVC) syndrome.
Materials And Methods: Patients with benign SVC syndrome treated with stent placement between January 1999 and July 2017 were retrospectively identified (n = 58). Average age was 49 years (range, 24-80 y); 34 (58%) were women, and 24 (42%) were men. Read More
Indian J Nucl Med 2018 Oct-Dec;33(4):312-316
Department of Radiology, Mayo Clinic, Jacksonville, Florida, USA.
Despite the increasing use of computed tomography pulmonary angiography to evaluate for pulmonary embolism (PE), ventilation/perfusion (V/Q) scintigraphy is still a fairly common examination. A rare finding on V/Q scintigraphy is whole-lung mismatched perfusion defect. Although this finding can occur with PE, it has an important, limited differential diagnosis. Read More
Nucl Med Mol Imaging 2018 Oct 3;52(5):401-404. Epub 2018 Sep 3.
1Division of Nuclear Medicine and Molecular Biology, Department of Radiology, Temple University Hospital, 3401 N. Broad Street, Philadelphia, PA 19104 USA.
We report a case of a 29-year-old female with a history of asthma, post-partum ARDS, and pulmonary hypertension who presents with severe shortness of breath. The patient describes her shortness of breath as progressive over the past 10 years. Chest radiography and CT angiography of the thorax showed findings consistent with fibrosing mediastinitis with severe stenosis of the left main pulmonary artery. Read More
Anaesth Crit Care Pain Med 2018 Oct 15. Epub 2018 Oct 15.
Service d'Anesthésie-Réanimation, AP-HP, Hôpital Henri Mondor, Créteil, France; Université Paris-Est, Faculté de Médecine, Créteil, France.
Kyobu Geka 2018 Oct;71(11):916-918
Department of Cardiovascular Surgery, Fujieda Municipal General Hospital, Fujieda, Japan.
Mediastinitis occurs after open heart surgery in a small number of cases. When it occurs, early diagnosis and treatment are important. A 69-year-old male patient suffered from mediastinitis after total aortic arch replacement. Read More
J Med Invest 2018 ;65(3.4):296-298
Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine.
In patients with esophageal cancer, esophageal conduit necrosis is a catastrophic complication of esophagectomy that requires surgical restoration. Because such patients are generally fatigued, less-invasive surgery is encouraged whenever possible. Therefore, we trim the sternum minimally above the healthy part of the gastric conduit, expose its surface, and then make anastomoses between the remnant esophagus and the exposed gastric conduit using a free jejunal graft through a retrosternal-subcutaneous route. Read More
Artif Organs 2018 Oct 3. Epub 2018 Oct 3.
İstanbul SBU Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Research and Training Hospital, Istanbul, Turkey.
Vacuum-assisted closure (VAC) has been widely used to treat mediastinitis after congenital cardiac surgery, which is associated with a high risk of morbidity and mortality. The aim in this study is to review our 14 cases of mediastinitis treated with VAC therapy after congenital cardiac surgery. We retrospectively reviewed the medical records of 14 congenital heart patients with mediastinitis from January 2012 to March 2017. Read More
Anticancer Res 2018 Oct;38(10):5581-5587
Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, Sapienza University, St. Andrea Hospital, Rome, Italy.
Background/aim: Endoscopic vacuum-assisted closure therapy (EVAC) is a promising new technique for repairing upper gastrointestinal defects of different etiologies. As of 2018, however, no standardized recommendation exists. This article reviewed EVAC in treating anastomotic leakage following major resective surgery of esophageal (EC) and gastric cancer (GC). Read More
Med Sante Trop 2018 Aug;28(3):297-301
USFR en chirurgie thoracique, Département de chirurgie à l' HU/JRA, Tananarive, Madagascar.
Acute mediastinitis, also called descending necrotizing mediastinitis and cervicomediastinal necrotizing fasciitis, is a disease due to the spread of severe cervical or oropharyngeal infection. Our retrospective study examined clinical records of patients admitted to the surgical intensive care unit for the management of acute mediastinitis during the four-year period 2009-2012. The records showed 14 cases admitted during these four years. Read More
Med Sante Trop 2018 Aug;28(3):273-276
Unité de formation et de recherche en science de la santé. Université Ouaga 1 Joseph Ki-Zerbo (Burkina Faso).
The necrotizing and not necrotizing acute bacterial dermohypodermitis (DHD) are acute bacterial infections of tissues situated between the skin and the muscles. The localizations of the face are infrequent, and sometimes put diagnostic difficulties with other current facial dermatosis. We report in this article 4 cases of DHD of the face with skin source, hospitalized in the service of the Infectious and Tropical Diseases of the Teaching Hospital Yalgado Ouédraogo of Ouagadougou (Burkina Faso). Read More
Infect Dis (Lond) 2018 Sep 28:1-11. Epub 2018 Sep 28.
e Department of Plastic and Reconstructive Surgery , Altunizade Acıbadem Hospital , İstanbul , Turkey.
Background: Candida sternal wound infections (SWIs) following cardiac surgery are rare but are associated with a high mortality rate. Guidelines on this topic either propose no suggestions for management or offer recommendations based on a small number of reports.
Methods: This paper presents a case of a Candida SWI and its successful treatment with debridement using a burr, negative pressure vacuum therapy (NPVT) and dermal grafting. Read More
Radiol Case Rep 2018 Oct 19;13(5):1084-1086. Epub 2018 May 19.
Readiology department; Hillel Yaffe medical center, Hadera, Israel.
Boerhaave syndrome refers to a spontaneous perforation of the esophagus that results from severe straining or vomiting. This uncommon situation may lead to serious outcome with chemical mediastinitis, and is associated with high morbidity and mortality. Surgery, although associated with high morbidity and mortality remains the treatment of choice, whereas endoscopic management with stent placement is preserved to treat inoperable patients. Read More
Respir Med Case Rep 2018 6;25:196-198. Epub 2018 Sep 6.
Department of Internal Medicine, University Hospital 12 de Octubre, Madrid, Spain.
Acute mediastinitis (AM) is a rare and deadly disease without appropriate treatment. It is usually due to invasive medical procedures, being uncommon the spontaneous onset. We report a case of 49-year-old patient whose starting symptoms were dyspnea and oppressive epigastric pain. Read More
Gastrointest Endosc 2018 Sep 13. Epub 2018 Sep 13.
Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Background And Aims: Mucosal injury (MI) is one of the most common perioperative adverse events of per-oral endoscopic myotomy (POEM). Severe undertreated MI may lead to contamination of the tunnel and even mediastinitis. This study explored the characteristics, predictors, and management approaches of intraoperative MI. Read More
Eur Heart J 2018 Sep 7. Epub 2018 Sep 7.
Department of Radiodiagnosis, Medical Research Institute, University of Alexandria, 165 El-Horeya Rd, Al Ibrahimeyah Qebli WA Al Hadrah Bahri, Qesm Bab Sharqi, Alexandria, Egypt.
Anesth Analg 2018 Sep 5. Epub 2018 Sep 5.
Department of Anesthesiology and Pediatrics, Duke University School of Medicine, Durham, North Carolina.
Background: In adults undergoing cardiopulmonary bypass surgery, oral intubation is typically preferred over nasal intubation due to reduced risk of sinusitis and infection. In children, nasal intubation is more common and sometimes preferred due to perceived benefits of less postoperative sedation and a lower risk for accidental extubation. This study sought to describe the practice of nasal intubation in the pediatric population undergoing cardiopulmonary bypass surgery and assess the risks/benefits of a nasal route against an oral one. Read More
J Plast Reconstr Aesthet Surg 2018 Dec 2;71(12):1768-1776. Epub 2018 Aug 2.
Department of Plastic and Reconstructive Surgery, Zhong-shan Hospital, 180 Fenglin Road, Xuhui District, Shanghai, China. Electronic address:
Objectives: Deep sternal wound infection (DSWI) is a refractory complication after heart surgery, and debridement is the first-line treatment. The accurate identification of the extent of the infection is the key to successful debridement. The present study assessed the diagnostic accuracy of fluorine-18 deoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) for identifying the infected area of DSWI. Read More
Medicine (Baltimore) 2018 Aug;97(35):e11903
Department of Stomatology, the First People's Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China.
Rationale: Senile patients with LS complicated with DNM are rarely seen in clinical practice, and extensive cervical incision and drainage plus administration of effective antibiotics are the basis for treatment. Currently, the treatment controversy mainly has focused on whether mediastinal incision and drainage is necessary for patients with type I DNM, and whether anticoagulation therapy is required for jugular venous emboli and distant metastatic emboli induced by LS.
Patient Concerns: A female, 76 years old, developed pain of tonsil on right side 5 days ago, and felt that the pain aggravated complicated with dysphagia and swelling pain of neck on both sides since then. Read More
Crit Care Nurs Q 2018 Oct/Dec;41(4):399-406
Allegheny General Hospital, Allegheny Health Network, Pittsburgh, Pennsylvania.
Stress-induced hyperglycemia can occur after cardiac surgery unless the patient is carefully managed. Postoperative hyperglycemia is typically associated with surgical site infections and mediastinitis, resulting in a longer length of stay and escalated costs for the hospitalization. The American Association of Clinical Endocrinologists recommend keeping the intraoperative and postoperative blood glucose levels below 180 mg/dL to avoid postoperative infections. Read More
BMC Ear Nose Throat Disord 2018 15;18:14. Epub 2018 Aug 15.
SUNY Upstate Department of Otolaryngology, Syracuse, NY USA.
Background: While odontogenic soft tissue infections of the head and neck are common, progression to necrotizing fasciitis is relatively rare. Necrotizing fasciitis is a potentially life-threatening and rapidly progressive soft tissue infection that can lead to significant skin and soft tissue loss, mediastinitis, vascular thrombosis or rupture, limb loss, organ failure, and death.
Methods: A PubMed literature search was conducted for case reports and case series on odontogenic necrotizing fasciitis. Read More
J Vet Emerg Crit Care (San Antonio) 2018 Sep 20;28(5):464-468. Epub 2018 Aug 20.
Translational Research and Animal Clinical Trial Study (TRACTS) group, Faculty of Veterinary and Agricultural Science, The University of Melbourne, Werribee, Victoria, Australia.
Objective: To describe 5 cases of conservative management of substantial esophageal perforation in dogs.
Series Summary: Five dogs presented with an esophageal foreign body (EFB) and resultant esophageal perforation. Clinical signs at presentation included tachycardia, tachypnea, and increased respiratory effort. Read More
Clin Chest Med 2018 Sep;39(3):505-513
Pulmonary and Critical Care Medicine, Geisinger, 100 North Academy Avenue, Danville, PA 17822-1334, USA.
Pulmonary artery filling defects can be observed in various pathologic processes other than pulmonary embolism, for example, nonthrombotic pulmonary embolism with biological and nonbiological materials and intrinsic pulmonary artery lesions. They have also been described in rare conditions, such as fibrosing mediastinitis and congenital absence or stenosis of pulmonary artery, and some pulmonary parenchymal and airway malignancies. Misdiagnosis is common owing to the relative rarity of these conditions. Read More
Eur Arch Otorhinolaryngol 2018 Oct 17;275(10):2555-2562. Epub 2018 Aug 17.
Department of Otorhinolaryngology, İzmir Katip Celebi University Atatürk Training and Research Hospital, Basın Sitesi Mh., Karabaglar, 35170, İzmir, Turkey.
Objectives: To present the outcomes of our case series of head and neck necrotizing fasciitis (HNNF) in which vacuum-assisted closure (VAC) is used in most of the cases in the treatment.
Methods: Case series in a tertiary referral center.
Results: Eleven patients were treated for HNNF between January 2008 and January 2017. Read More
BMC Infect Dis 2018 Aug 16;18(1):407. Epub 2018 Aug 16.
Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco.
Background: Post cardiac surgery mediastinitis is the major infectious complication, despite the development of surgical techniques and the application of strict preventive measures. The Haemophilus influenzae mediastinitis is very rare. The mediastinitis caused by the association between Haemophilus influenzae and Aggregatibacter aphrophilus has never been described to our knowledge. Read More
Rev Med Liege 2018 Jul;73(7-8):387-393
Service de Pneumologie, CHR de la Citadelle, Liège, Belgique.
Endobronchial ultrasound (EBUS) is a minimally invasive investigation method that permits transbronchial needle aspiration (TBNA) of mediastinal and hilar lymphadenopathies in order to determine their etiology. Its indications are notably lung cancer staging and lymphadenopathy exploration in case of sarcoidosis and malignant lymphomas. The employment of EBUS-TBNA has grown over the past few years and has become an alternative to mediastinoscopy due to a lower complication rate. Read More
Mol Clin Oncol 2018 Aug 14;9(2):215-218. Epub 2018 Jun 14.
Department of Breast Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba 273-8588, Japan.
An 83-year-old woman underwent mastectomy for breast cancer of the right breast in 2008. In addition to hormone therapy and irradiation, zoledronate was started for bone metastasis 6 months postoperatively. Five years after the operation, the patient developed osteonecrosis of the jaw, and underwent sequestrectomy because of uncontrollable pain in the mandible. Read More
Rev Mal Respir 2018 Sep 8;35(7):745-748. Epub 2018 Aug 8.
Service de pneumologie, hôpital Avicenne, 93000 Bobigny, France.
Introduction: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure designed to explore mediastinal lymphadenopathy. Its use and indications have increased recently and severe, though rare, complications have been reported.
Case Report: EBUS-TBNA was performed in a 64-year-old patient presenting with mediastinal lymphadenopathy, probably due to sarcoidosis, but without histological proof. Read More
J Surg Case Rep 2018 Aug 7;2018(8):rjy203. Epub 2018 Aug 7.
Department of Cardiothoracic Surgery, Northern General Hospital, Herries Road, Sheffield, UK.
Descending mediastinitis is a rare, life-threatening condition caused by contiguous spread of oropharyngeal or cervical infection into the mediastinum. Infectious mononucleosis generally results in a self-limited illness characterized by fever, pharyngitis and lymphadenopathy. We present an exceptional case of an 18-year-old with infectious mononucleosis complicated by progressive bacterial superinfection and fulminant descending mediastinitis. Read More
Gen Thorac Cardiovasc Surg 2018 Aug 6. Epub 2018 Aug 6.
Department of Cardiovascular Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan.
In patients who have undergone laryngectomy and have a tracheal stoma, a full median sternotomy substantially increases the risk of wound infection, osteomyelitis, mediastinitis, bleeding, tracheal injury, and poor wound healing. Several reports have been published on sternotomies and skin incisions in tracheostoma patients. Transverse bilateral thoracosternotomy, T-shaped partial sternotomy (manubrium-sparing sternotomy) with transverse skin flaps and anterolateral thoracotomy with partial sternotomy are described as successful approaches to the mediastinum for cardiac surgery. Read More
Tex Heart Inst J 2018 06 1;45(3):176-178. Epub 2018 Jun 1.
Management of sternal wound dehiscence in newborns after cardiac operations can be a slow and lengthy process, during which the risk of progression to deep sternal wound infection and mediastinitis remains a concern. We report the case of a neonate born with single-ventricle physiology who underwent a Damus-Kaye-Stansel procedure as first-stage palliation toward creating Fontan circulation. The postoperative period was characterized by sterile wound dehiscence of the subcutaneous layers. Read More
Korean J Gastroenterol 2018 Jul;72(1):1-5
Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.
The most common cause of esophageal foreign bodies in adults is meat in Western countries and fish bones in Asian countries, including Korea. Although most ingested foreign bodies pass spontaneously through the esophagus without any clinical sequelae, some sharp foreign bodies, such as fish bones embedded in the esophagus, require treatment. Endoscopic management is the first choice in the treatment of esophageal foreign bodies because it is quite safe and effective. Read More
Infect Drug Resist 2018 16;11:961-968. Epub 2018 Jul 16.
Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Center for Musculoskeletal Surgery (CMSC), Berlin, Germany.
Deep sternal wound infection (DSWI), also known as mediastinitis, is a serious and potentially fatal condition. The diagnosis and treatment of DSWI are challenging. In this current narrative review, the epidemiology, risk factors, diagnosis, and surgical and antimicrobial management of DSWI are discussed. Read More
Clin Exp Otorhinolaryngol 2018 Dec 20;11(4):293-300. Epub 2018 Jul 20.
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Objectives: The current study aims to determine the correlation between nutritional status upon presentation and disease severity, as well as treatment and survival outcomes.
Methods: Patients who were diagnosed with deep neck infection, underwent at least one surgical drainage/debridement, and had more than 1 week of hospitalization at a tertiary medical center from 2007 to 2015 were retrospectively included. Thereafter, initial serum albumin, C-reactive protein (CRP), and body mass index (BMI) were reviewed. Read More
J Thorac Dis 2018 May;10(5):E364-E367
Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea.
J Med Case Rep 2018 Jul 7;12(1):195. Epub 2018 Jul 7.
Department of Surgery, Banso Baptist Hospital, P.O Box 9, Nso-Kumbo, Northwestern Region, Cameroon.
Background: We report two cases of innocuous dentoalveolar infections which rapidly progressed to deep neck abscesses complicated by descending mediastinitis in a resource-constrained rural mission hospital in the Cameroon.
Case Presentation: The clinical presentations of a 35-year-old man and a 32-year-old woman both of Fulani origin in the Northern region of Cameroon were similar with submandibular fluctuant and tender swelling and differential warmth to palpation. The patients had tachycardia, high grade pyrexia, and normal blood pressure. Read More