• Eur Arch Otorhinolaryngol · Mar 2003

    Case Reports

    Descending necrotizing mediastinitis following acute epiglottitis: a case report.

    • Ichiro Tateya, Nobuya Fujiki, Kyosuke Kurata, Seiki Hasegawa, and Hisayoshi Kojima.
    • Department of Otolaryngology, Kyoto University Hospital, Sakyo-ku, Kyoto, 606-8507, Japan. tateya@hs.m.kyoto-u.ac.jp
    • Eur Arch Otorhinolaryngol. 2003 Mar 1; 260 (3): 128-30.

    AbstractDescending necrotizing mediastinitis occurs secondary to deep neck infection, and the primary focus of infection is mostly located in the tonsil, pharynx and carious tooth. DNM following acute epiglottitis is quite rare, with only one case reported. We treated an 84-year old female with an acute epiglottitis followed by DNM. She was successfully treated by drainages with cervical surgery combined with thoracotomy and cervical surgery.

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