Mediastinal Infection, CTCAE

Abstract Background Odynophagia can be caused by infective and non-infective inflammatory processes, benign and malignant esophageal disorders such as achalasia, gastro-esophageal reflux disease and carcinoma. Methods We described two unusual cases of odynophagia and their individual management. Results Case 1 is a 21 year-old Indian man presented with 2 days history of odynophagia after taking doxycycline capsules indicated for acne. An esophagogastroduodenoscopy (OGD) was performed and showed multiple mid esophageal ulcers. Esophageal biopsy taken showed inflammatory ulcer slough with no fungal infection, dysplasia or malignancy. Doxycycline was stopped and patient recovered with complete resolution of odynophagia. Case 2 is a 55 year-old Chinese man presented with 1 day history of odynophagia and severe chest pain after eating a bowl of hot fish soup. A CT Thorax was performed which showed a localised perforation of the right wall of the esophagus with extraluminal gas posterior to the trachea. An urgent OGD was performed and an L-shaped fish bone was removed successfully and an endoclip was applied to close the puncture hole of esophagus. Patient made a full recovery without any mediastinal infection. Conclusion Odynophagia from mid esophageal ulcers secondary to doxycycline intake should be recognized and can be easily managed by stopping the antibiotics with complete resolution of the symptom. Fish ingestion leading to sharp bone induced penetrating esophageal injury can be safely managed by endoscopic removal and endoclip application. Disclosure All authors have declared no conflicts of interest.

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Hospital Infections

10.2310/vasc.2163 ◽

2012 ◽

Author(s):

E Patchen Dellinger ◽

Heather L. Evans ◽

Erik G. Van Eaton

Keyword(s):

Nosocomial Infections ◽

Respiratory Infections ◽

Hospital Infections ◽

Postoperative Fever ◽

Algorithmic Approach ◽

Risk Detection ◽

Mediastinal Infection ◽

Enteric Infections ◽

Device Associated Infection ◽

Tract Infections

Nosocomial infections are a threat to all hospitalized patients. They can increase morbidity, mortality, length of stay, and costs and occur in almost every body site. This review features an algorithmic approach to the risk, detection, and treatment of nosocomial infections. Respiratory infections include pneumonia, tracheitis or tracheobronchitis, paranasal sinusitis, and otitis media. Operative site or injury-related infections include those occurring in wounds, the intra-abdominal space, methicillin-resistant Staphylococcus aureus (MRSA), empyema, posttraumatic meningitis, osteomyelitis, and sternal and mediastinal infection. A review of intravascular device--associated infection focuses on catheter-related bacteremia and its management. Catheter-associated urinary tract infections (UTIs) and enteric infections are also considered. Enteric infections and transfusion-associated infections are covered in depth, reviewing the most important recent advances and studies. A discussion of postoperative fever addresses the magnitude and incidence of hospital infections, UTIs, and catheter duration and pathogens typically involved and considers the associated costs and the risks of acquiring a nosocomial infection. This review contains 5 figures, 1 table,1 algorithm, and 292 references.

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MEDIASTINAL INFECTION FROM ESOPHAGEAL PERFORATION

Journal of the American Medical Association ◽

10.1001/jama.1938.02790370018005 ◽

1938 ◽

Vol 111 (11) ◽

pp. 998 ◽

Cited By ~ 21

Author(s):

CHARLES E. PHILLIPS

Keyword(s):

Esophageal Perforation ◽

Mediastinal Infection

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Cardiac Tamponade in a Postpartum Woman with Lemierre's Syndrome

Anaesthesia and Intensive Care ◽

10.1177/0310057x9802600518 ◽

1998 ◽

Vol 26 (5) ◽

pp. 582-583 ◽

Cited By ~ 15

Author(s):

A. S. McLean ◽

K. Tyler

Keyword(s):

Cardiac Arrest ◽

Cardiac Tamponade ◽

Anticoagulant Therapy ◽

Pericardial Tamponade ◽

Postpartum Woman ◽

Lemierre’S Syndrome ◽

Successful Resuscitation ◽

Mediastinal Infection ◽

Lemierre's Syndrome

A 23-year-old primigravida with Lemierre's syndrome developed pericardial tamponade secondary to mediastinal infection and anticoagulant therapy. Intrathoracic echocardiographic diagnosis during a period of cardiac arrest led to urgent pericardiocentesis and successful resuscitation.

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Complex mediastinal infection causing bilateral airway obstruction in a young child: Pulmonary mycobacterium avium infection and the role of surgical intervention in the compromised airway

Otolaryngology Case Reports ◽

10.1016/j.xocr.2020.100230 ◽

2020 ◽

Vol 17 ◽

pp. 100230

Author(s):

Joseph Connors ◽

Zahrah Taufique ◽

Scott Rickert

Keyword(s):

Young Child ◽

Airway Obstruction ◽

Mycobacterium Avium ◽

Surgical Intervention ◽

Mediastinal Infection ◽

Avium Infection ◽

Mycobacterium Avium Infection

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Descending Mediastinal Infection - Presentations and Management

CHEST Journal ◽

10.1378/chest.126.4_meetingabstracts.803s-b ◽

2004 ◽

Vol 126 (4) ◽

pp. 803S

Author(s):

Alex Wohler ◽

Marc Margolis ◽

Barbara Tempesta ◽

Matthew Facktor ◽

David Salter ◽

...

Keyword(s):

Mediastinal Infection

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TẠO HÌNH XƯƠNG ỨC VÀ THÀNH NGỰC BẰNG NẸP VÍT TRONG VẾT THƯƠNG NGỰC XUYÊN

Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam ◽

10.47972/vjcts.v1i.149 ◽

2020 ◽

Vol 1 ◽

pp. 56-59

Author(s):

Dr. Hoang Quoc Toan ◽

Dr. Hoang Anh Tuan

Keyword(s):

Chest Wall ◽

Vital Signs ◽

Anterior Chest Wall ◽

Complex Problem ◽

Breath Sounds ◽

Mediastinal Infection ◽

Chest Wound ◽

Close Range ◽

Pectoralis Muscles ◽

The Right

chest wall was destroyed in the penetrating chest wound is dificult problems for a variety of conditions and has been a complex problem in the past due to intraoperative technical difficulties, surgical complications, and respiratory failure. The surgical technique of chest wall stabilization for fail chest and reconstruction with a screws plate as a part of destroyed chest wall and reconstruction is described here in this article.Cas reporte A 54-year-old male was shot in the left thorax , fired from a AK bullet at close range (plus than 3 m). He arrived to our hopital approximately 8 hours after the injury. He had absent breath sounds on the left side, rapid respiratory rate 35 L/P,upper anterior fail chets(paradoxical motion of segments of the chest wall) and his vital signs were stable (pulse was 130, blood pressure was 140/90 mmHg. Physical examination revealed a single skin laceration (plus than 2. cm) with less surrounding contusion at the left anterier-axillary line; 3th intercostal space. The admission chest radiograph revealed a all left hemothorax(pleural effusion). chest X-ray demonstrated a foreign body at the right clavicle bone with the form of an bulett (Figure 1). A leftsided thoracostomy tube drained blood, the patient underwent a traumatic thoracotomie.the bullet and ribs,1/2 anterior upper sternum, muscles on the destroyed anterior upper chest wall were removed.wide anterior chest wall defects on only shaped by steel wires and screws plate and grand pectoralis muscles to the chest wall fix (stabilisation), avoid reversal respiratory and mediastinal infection.. The patient had an uneventful hospital stay and was discharged home 25 days later.

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Establishing the Safety of Training in Off-Pump Coronary Artery Bypass Surgery: A Retrospective Comparison of Outcomes between Trainees and a Consultant Surgeon

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0040-1701668 ◽

2020 ◽

Vol 68 (08) ◽

pp. 674-678

Author(s):

Soumik Pal ◽

Philip Hartley ◽

Yousuf Salmasi ◽

George Asimakopoulos

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Statistical Significance ◽

Artery Bypass ◽

Off Pump ◽

Consultant Surgeon ◽

Mediastinal Infection ◽

Opcab Surgery ◽

Pump Coronary Artery Bypass ◽

The Uk

Abstract Background The safety of training in off-pump coronary artery bypass (OPCAB) surgery and the stage at which trainees should be exposed to this technique remain controversial. This single-center retrospective study aimed to compare outcomes of OPCAB surgery in consultant and trainee cases. Methods Between 2014 and 2018, all isolated OPCAB operations performed under the care of a consultant surgeon (G.A.) were analyzed. Cases where a surgeon below consultant grade performed at least 70% of the distal anastomoses were designated as “trainee cases” with the remaining cases designated as “consultant cases.” The baseline characteristics of patients, perioperative data, and short-term outcomes were prospectively collated and analyzed. Results During the study period, 245 OPCAB cases were identified: 142 (58%) consultant and 103 (42%) trainee cases. The trainee cases were performed exclusively by trainees in the final 2 years of the UK National Cardiothoracic Training Program. Both trainee and consultant groups had low mortality with two perioperative deaths occurring in either group. The rates of serious postoperative complications including stroke (n = 1 vs. 2, p = 0.759), resternotomy for bleeding (n = 3 vs. 7, p = 0.431), and mediastinal infection (n = 2 vs. 3, p = 0.926) were low and not significantly different between the two groups. Patients operated on by trainees had a slightly longer hospital stay than those operated on by the consultant surgeon, although this did not reach statistical significance (9.9 vs. 7.9 days). Conclusions These results demonstrate comparable outcomes in OPCAB surgery between a consultant surgeon and trainees. This study supports the conclusion that training surgeons in OPCAB is appropriate for trainees in the final years of cardiac surgery training.

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