Descending necrotizing mediastinitis in early childhood : favorable outcome after aggressive treatment
OBJECTIVE: To report a case of descending necrotizing mediastinitis (DNM), an unusual illness in childhood that develops as a complication of oropharyngeal infection.
DESIGN: Descriptive case report.
SETTING: Pediatric intensive care unit.
PATIENT: A 19-month-old boy with a DNM that resulted from a pharyngeal abscess.
INTERVENTIONS: Aggressive surgical debridement; intravenous therapy with broad-spectrum antibiotics.
MEASUREMENTS AND MAIN RESULTS: Simple chest radiograph and computed tomographic scan, and routine culture were used to assess the patient. Administration of broad-spectrum antibiotics and surgical drainage resulted in clinical resolution of symptoms.
CONCLUSIONS: An aggressive approach (broad-spectrum antibiotics and surgical debridement) can improve the prognosis of DNM in children.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2003 |
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| Erschienen: |
2003 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:4 |
|---|---|
| Enthalten in: |
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies - 4(2003), 4 vom: 02. Okt., Seite 476-9 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Dueñas, Joaquín [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 25.03.2004 Date Revised 28.07.2014 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM142663158 |
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| 041 | |a eng | ||
| 100 | 1 | |a Dueñas, Joaquín |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Descending necrotizing mediastinitis in early childhood |b favorable outcome after aggressive treatment |
| 264 | 1 | |c 2003 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a Date Completed 25.03.2004 | ||
| 500 | |a Date Revised 28.07.2014 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To report a case of descending necrotizing mediastinitis (DNM), an unusual illness in childhood that develops as a complication of oropharyngeal infection | ||
| 520 | |a DESIGN: Descriptive case report | ||
| 520 | |a SETTING: Pediatric intensive care unit | ||
| 520 | |a PATIENT: A 19-month-old boy with a DNM that resulted from a pharyngeal abscess | ||
| 520 | |a INTERVENTIONS: Aggressive surgical debridement; intravenous therapy with broad-spectrum antibiotics | ||
| 520 | |a MEASUREMENTS AND MAIN RESULTS: Simple chest radiograph and computed tomographic scan, and routine culture were used to assess the patient. Administration of broad-spectrum antibiotics and surgical drainage resulted in clinical resolution of symptoms | ||
| 520 | |a CONCLUSIONS: An aggressive approach (broad-spectrum antibiotics and surgical debridement) can improve the prognosis of DNM in children | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Anti-Bacterial Agents |2 NLM | |
| 700 | 1 | |a García-Menor, Emilia |e verfasserin |4 aut | |
| 700 | 1 | |a Ibarra De La Rosa, Ignacio |e verfasserin |4 aut | |
| 700 | 1 | |a Granados, Adoración |e verfasserin |4 aut | |
| 700 | 1 | |a Antón, Montserrat |e verfasserin |4 aut | |
| 700 | 1 | |a Pérez-Navero, Juan L |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies |d 2000 |g 4(2003), 4 vom: 02. Okt., Seite 476-9 |w (DE-627)NLM124299717 |x 1529-7535 |7 nnns |
| 773 | 1 | 8 | |g volume:4 |g year:2003 |g number:4 |g day:02 |g month:10 |g pages:476-9 |
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