• Joseph G Kotora, Eric J Schmieler, Christian S McEvoy, and Stephen L Noble.
• 100 Brewster Blvd, Camp Lejeune, NC 28547, United States. Electronic address: joseph.g.kotora.mil@mail.mil.
• Am J Emerg Med. 2018 May 1; 36 (5): 907.e5-907.e9.

AbstractThis case is significant to the practice of emergency medicine because it represents the development of an uncommon and potentially fatal mediastinal infection from a commonly encountered and appropriately treated community respiratory pathogen. Most published reports on mediastinitis are those that are status-post cardiothoracic surgery. In our report, we discuss a case of a healthy, young individual who developed this morbid entity from extension of a simple respiratory infection where Group C Streptococcus has been isolated as the causative organism, which to our knowledge has not been previously reported. Further, this report outlines how a community acquired pneumonia progressed to a life threatening illness despite proper initial treatment per local and national guidelines.Published by Elsevier Inc.

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