• Surgical infections · Feb 2012

    Review Case Reports

    Group A Streptococcus causing descending necrotizing mediastinitis: report of a case and literature review.

    • Yves Collin, Marco Sirois, Alex Carignan, and Jeffrey Charles Lawton Wackett.
    • Department of Surgery, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada. yves.collin@usherbrooke.ca
    • Surg Infect (Larchmt). 2012 Feb 1; 13 (1): 57-9.

    BackgroundDescending necrotizing mediastinitis is a serious condition with few cases reported in the literature. Surgical treatment is controversial and may include wound exploration, local drainage, and even mediastinal debridement approached by thoracotomy.MethodsDescription of a case of descending mediastinitis caused by group A Streptococcus as a complication of thyroidectomy.ResultsAggressive debridement was required for source control and treatment of septic shock.ConclusionPost-thyroidectomy descending necrotizing mediastinitis is a rare and dangerous infection. It should be treated aggressively with appropriate cervical and mediastinal drainage combined with optimum medical care.

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