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Journal Information
Vol. 41. Issue 5.
Pages 293-294 (May 2005)
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Vol. 41. Issue 5.
Pages 293-294 (May 2005)
Case Reports
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Descending Necrotizing Mediastinitis: Treatment by Transcervical Thoracic Drainage
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A.F. Honguero Martínez
Corresponding author
tonyhonguero@yahoo.es

Correspondence: Dr. A.F. Honguero Martínez. Servicio de Cirugía Torácica. Hospital General Universitario. Avda. Tres Cruces, s/n. 46014 Valencia. España
, A. Arnau Obrer, A. Fernández Centeno, R. Saumench Perramon, M. Estors, A. Cantó Armengod
Servicio de Cirugía Torácica, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
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We report the case of a 29-year-old man with descending necrotizing mediastinitis and subcarinal spread secondary to oropharyngeal infection. The thoracic infection was treated by placement of a transcervical thoracic drain, which was removed 15 days after surgery. The outcome was satisfactory and no further invasive treatment was required. We believe that transcervical thoracic drainage is a useful initial treatment for descending necrotizing mediastinitis with subcarinal spread but no pleural cavity involvement.

Key Words:
Descending necrotizing mediastinitis
Transcervical mediastinal drainage
Peritonsillar abscess

Presentamos el caso clínico de un varón de 29 años de edad que presentó una mediastinitis necrosante descendente con extensión infracarinal secundaria a un proceso infeccio-so orofaríngeo. La infección torácica fue tratada mediante un drenaje torácico vía transcervical, que se retiró al deci-moquinto día del postoperatorio. La evolución fue favorable sin necesidad de una reintervención más radical. Considera-mos que en la mediastinitis necrosante descendente con extensión infracarinal sin rotura pleural es útil inicialmente el tratamiento con drenaje torácico transcervical.

Palabras clave:
Mediastinitis necrosante descendente
Drenaje mediastínico transcervical
Absceso periamigdalino
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Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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