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Pediatr Crit Care Med. 2003 Oct;4(4):476-9.

Descending necrotizing mediastinitis in early childhood: favorable outcome after aggressive treatment.

Author information

1
Pediatric Critical Care, Reina Sofía Children's Hospital, Córdoba, Spain.

Abstract

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.

[Indexed for MEDLINE]

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