• Gen Thorac Cardiovasc Surg · Nov 2017

    Case Reports

    Descending necrotizing mediastinitis with Lemierre's syndrome.

    • Taisuke Kaiho, Takahiro Nakajima, Shuji Yonekura, Sawako Hamasaki, Takekazu Iwata, and Ichiro Yoshino.
    • Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
    • Gen Thorac Cardiovasc Surg. 2017 Nov 1; 65 (11): 661-663.

    AbstractDescending necrotizing mediastinitis is a severe infection of the mediastinum. Lemierre's syndrome manifests as thrombophlebitis in the cervical veins, which is caused by a neck infection. A 50-year-old woman had a fever with a 13-day history of neck pain. CT showed a deep neck abscess with vertebral vein thrombosis and mediastinal abscesses. Multiple small pulmonary nodules were found, suggesting septic pulmonary embolism. Emergency surgery for bilateral cervical and mediastinal drainage was performed, and antibiotics and anticoagulation agent was administered. Edoxaban was required to clear vein thrombosis and pulmonary embolization.

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