علاج التهاب المنصف الحاد مع الحمى في التهاب المنصف النازل المتعفن من مصدر الرأس والرقبة

References

DOI: 10.1093/ejcts/ezw326

• Descending necrotizing mediastinitis describes an infection with its origin from a head and neck source, most commonly an oropharyngeal or odontogenic focus, which then spreads in the fascial spaces of the head and neck and descends downward into the mediastinum.
• Patients usually have experienced and present with symptoms and signs of an oropharyngeal/odontogenic infection and fever.
• Neck and chest pain together with dyspnoea are other potential findings.
• Administration of IV broad-spectrum antibiotics with coverage for aerobic and anaerobic bacteria as soon as possible is mandatory considering the high mortality rates of up to 85% in the preantibiotic era.
• In case of severe sepsis and/or septic shock, early ICU admission for optimal management is strongly advisable.