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. 2000 Oct-Dec;85(4):331-5.

Descending necrotizing mediastinitis

M S Mitjans  1 , J B Sanchís, X B Padro, I García, J M Garolera, M R Garay
Affiliations
  • PMID: 11589602

Descending necrotizing mediastinitis

M S Mitjans et al. Int Surg. 2000 Oct-Dec.

Abstract

Between 1990-1999, six patients (mean age, 41.5 years) with the diagnosis of descending necrotizing mediastinitis were surgically treated at our institution. All patients underwent cervical drainage plus an aggressive mediastinal debridement and drainage via posterolateral thoracotomy. The outcome was favorable in all cases. All patients received initially a high dose of broad-spectrum antibiotics. In four patients, a tracheostomy was necessary for respiratory management. We also review the literature.

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