4,719 results match your criteria Mediastinitis


The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries.

Authors:
Harold L Lazar

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

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September 2018

Successful Treatment of a Late Diagnosed Esophageal Perforation with Mediastinitis and Pericardial Abscess.

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

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December 2018

Endoscopic repair of spontaneous esophageal rupture during gastroscopy: A CARE compliant case report.

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

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November 2018

Analysis of the role of thyroidectomy and thymectomy in the surgical treatment of secondary hyperparathyroidism.

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

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October 2018
2 Reads

Deep neck infection in patients with and without human immunodeficiency virus: a comparison of clinical features, complications, and outcomes.

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

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November 2018
1 Read

Infections of the Neck.

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

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February 2019
3 Reads

Pulmonary Arterial Bypass Surgery for Fibrosing Mediastinitis Causing Severe Pulmonary Hypertension.

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

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November 2018
1 Read

A Fatal Mediastinitis Due to a Neck Trauma from an Undeclared Assault.

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

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November 2018
1 Read

48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse.

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

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November 2018
1 Read

Descending necrotizing mediastinitis in a healthy young adult.

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

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October 2018
4 Reads

Treatment of a broncho-esophageal fistula complicated by severe ARDS.

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

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November 2018
12 Reads

Porous alumina ceramic sternum: A reliable option for sternal replacement.

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

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November 2018

Effective Combination of Different Surgical Strategies for Deep Sternal Wound Infection and Mediastinitis.

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

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November 2018
3 Reads

Chronic Periaortitis: an Update.

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

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November 2018
3 Reads

Usefulness of a temporary endovascular left ventricular assist system as a bridge to facilitate treatment of mediastinitis associated with a permanent device.

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.

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October 2018
4 Reads

Is Long-Term Anticoagulation Required after Stent Placement for Benign Superior Vena Cava Syndrome?

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

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November 2018
1 Read

Acquired Whole-lung Mismatched Perfusion Defects on Pulmonary Ventilation/Perfusion Scintigraphy.

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

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November 2018
1 Read

Fibrosing Mediastiniti: a Rare Cause of Unilateral Absent Lung Perfusion on a V/Q Scan.

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

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October 2018

A GIANT THORACIC AORTIC ANEURYSM CAUSING MULTIPLE FISTULAS AND MEDIASTINITIS.

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.

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October 2018
3 Reads

[Treatment of Mediastinitis after Open Heart Surgery Using Negative Pressure Wound Therapy with Irrigation].

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

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October 2018

Retrosternal salvage reconstruction of esophageal discontinuity for a necrotic gastric tube after esophagectomy: A novel procedure.

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

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January 2018

Vacuum-Assisted Closure for Mediastinitis in Pediatric Cardiac Surgery: A Single-Center Experience.

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

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October 2018
2 Reads

Surgical Endoscopic Vacuum-assisted Closure Therapy (EVAC) in Treating Anastomotic Leakages After Major Resective Surgery of Esophageal and Gastric Cancer.

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

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October 2018
1 Read
1.870 Impact Factor

Acute descending necrotizing mediastinitis: four years of experience at a hospital center in Madagascar.

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

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August 2018
6 Reads

Management of necrotizing and non-necrotic bacterial erysipelas of the face in tropical areas: a series of four cases and a review of the literature.

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

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August 2018
7 Reads

Treatment of Candida sternal infection following cardiac surgery - a review of literature.

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

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September 2018
12 Reads

Boerhaave syndrome in an elderly man successfully treated with 3-month indwelling esophageal stent.

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

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October 2018

Spontaneous mediastinitis with multiple esophageal abscess in the esophagus.

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

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September 2018

Clinical and endoscopic predictors for intraprocedural mucosal injury during per-oral endoscopic myotomy.

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

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September 2018
1 Read

A case of fibrosing mediastinitis complicated by pulmonary hypertension and right-sided heart failure.

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.

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September 2018
1 Read

A Study of Practice Behavior for Endotracheal Intubation Site for Children With Congenital Heart Disease Undergoing Surgery: Impact of Endotracheal Intubation Site on Perioperative Outcomes-An Analysis of the Society of Thoracic Surgeons Congenital Cardiac Anesthesia Society Database.

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

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September 2018
2 Reads

Diagnostic value of fluorine-18 deoxyglucose positron emission tomography/computed tomography in deep sternal wound infection.

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

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December 2018
9 Reads

Senile Lemierre syndrome complicated with descending necrotizing mediastinitis: A case report.

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

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August 2018
7 Reads

Blood Glucose Management for Reducing Cardiac Surgery Infections.

Authors:
Susan Leininger

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

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November 2018

Odontogenic necrotizing fasciitis: a systematic review of the literature.

Authors:
Mitchell R Gore

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

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August 2018
8 Reads

Medical management of esophageal perforation secondary to esophageal foreign bodies in 5 dogs.

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

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September 2018
12 Reads

Intraluminal Arterial Filling Defects Misdiagnosed as Pulmonary Emboli: What Else Could They Be?

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

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September 2018
11 Reads
2.070 Impact Factor

Necrotizing fasciitis of the head and neck: our experience with vacuum-assisted closure therapy.

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

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October 2018
2 Reads

Exceptional association of two species of bacteria causing mediastinitis: Haemophilus influenzae (H. influenzae) and Aggregatibacter aphrophilus (A. aphrophilus).

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

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August 2018
2 Reads
2.610 Impact Factor

[Mediastinitis following EBUS : about a complication after a minimally invasive investigation].

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

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July 2018
8 Reads

Descending necrotizing mediastinitis after sequestrectomy in a patient with bisphosphonate-induced osteonecrosis of the jaw: A case report.

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

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August 2018
11 Reads

[Mediastinitis following endobronchial ultrasound-guided transbronchial needle aspiration].

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

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September 2018
2 Reads

Fulminant descending mediastinitis secondary to infectious mononucleosis.

Authors:
G W Fuller J N Rao

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

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August 2018
3 Reads

Off-pump coronary artery bypass grafting in a tracheostomy patient.

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

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August 2018
1 Read

Use of an Extracellular Matrix Patch for Sternal Wound Dehiscence after Cardiac Surgery in a Neonate.

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

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[Esophageal Foreign Body: Treatment and Complications].

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

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July 2018
8 Reads

Current perspectives on diagnosis and management of sternal wound infections.

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

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July 2018
3 Reads

Initial Nutritional Status and Clinical Outcomes in Patients with Deep Neck Infection.

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

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December 2018
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Complete excision of acute necrotic regression of thymoma mimicking an infected mediastinal cyst with mediastinitis using video-assisted thoracoscopic technique.

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.

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May 2018
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Deep neck infection and descending mediastinitis as lethal complications of dentoalveolar infection: two rare case reports.

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

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July 2018
4 Reads