scholarly journals Descending necrotizing mediastinitis due to an odontogenic infection: A case report

2021 ◽  
Vol 38 (4) ◽  
pp. 675-677
Author(s):  
Serdar ÖZDEMİR ◽  
Abdullah ALGIN ◽  
Hatice Şeyma AKÇA ◽  
Mehmet Özgür ERDOĞAN
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Soft Tissue ◽  
High Mortality ◽  
Odontogenic Infection ◽  
Deep Fascia ◽  
Descending Necrotizing Mediastinitis ◽  
Cervical Infection ◽  
Mediastinal Drainage ◽  
Deep Cavities

Descending necrotizing mediastinitis a clinical entity formed by the spreading of cervical infection from the dental and oropharyngeal structures through the deep cavities between the deep fascia on the neck to the mediastinum, pleural and pericardial spaces with necrosis of soft tissue and has a high mortality. Herein we present the case of a 73-year-old admitted to emergency department with septic clinic. The patient was diagnosed with descending necrotizing mediastinitis due to odontogenic infection. Although sternal irrigation, sternal debridement and mediastinal drainage were performed patient was died postoperative third day.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals Recurrent Coagulopathy after Rattlesnake Bite Requiring Continuous Intravenous Dosing of Antivenom

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Charles W. Hwang ◽  
F. Eike Flach
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Soft Tissue ◽  
Upper Extremity ◽  
Clinical Course ◽  
Latency Period ◽  
Laboratory Monitoring ◽  
Healthy Man ◽  
Multiple Units

Context. Snakebite envenomation is common and may result in systemic coagulopathy. Antivenom can correct resulting laboratory abnormalities; however, despite antivenom use, coagulopathy may recur, persist, or result in death after a latency period.Case Details. A 50-year-old previously healthy man presented to the emergency department after a rattlesnake bite to his right upper extremity. His presentation was complicated by significant glossal and oropharyngeal edema requiring emergent cricothyrotomy. His clinical course rapidly improved with the administration of snake antivenom (FabAV); the oropharyngeal and upper extremity edema resolved within several days. However, over the subsequent two weeks, he continued to have refractory coagulopathy requiring multiple units of antivenom. The coagulopathy finally resolved after starting a continuous antivenom infusion.Discussion. Envenomation may result in latent venom release from soft tissue depots that can last for two weeks. This case report illustrates the importance of close hemodynamic and laboratory monitoring after snakebites and describes the administration of continuous antivenom infusion, instead of multidose bolus, to neutralize latent venom release and correct residual coagulopathy.

scholarly journals Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage

2015 ◽  
Vol 9 (3) ◽  
pp. 311-316 ◽  
Author(s):  
Minoru Fukuchi ◽  
Okihide Suzuki ◽  
Daisuke Nasu ◽  
Kazue Koizumi ◽  
Yu Muta ◽  
...  
Keyword(s):  
Delayed Diagnosis ◽  
Rare Condition ◽  
Odontogenic Infection ◽  
Thoracic Esophagus ◽  
Descending Necrotizing Mediastinitis ◽  
Source Of Infection ◽  
Oropharyngeal Infection ◽  
Mediastinal Drainage ◽  
Life Threatening ◽  
Tooth Extractions

Descending necrotizing mediastinitis (DNM) is a rare condition in which oropharyngeal infection spreads to the mediastinum via the cervical fascia. Delayed diagnosis and surgery result in a high mortality rate among patients with DNM. We present a case of DNM resulting from odontogenic infection treated successfully with tooth extraction following mediastinal and cervical drainage. A 43-year-old, previously healthy Japanese man was admitted to our hospital for treatment of acute mediastinitis. Computed tomography revealed gas collection around the mid-thoracic esophagus and bilateral pleural effusion. We performed mediastinal drainage via right thoracotomy. Cervicotomy was performed on postoperative day 14 to drain a residual cervical abscess. The patient required the extraction of ten teeth over three procedures to address primary odontogenic infection before his fever resolved on postoperative day 40. Prompt diagnosis, aggressive drainage and removal of the source of infection can improve survival among patients with this life-threatening disease.

Descending necrotizing mediastinitis caused by an odontogenic infection: A case report

2000 ◽  
Vol 58 (2) ◽  
pp. 240-242 ◽  
Author(s):  
Reiko Tsunoda ◽  
Satoshi Suda ◽  
Takashi Fukaya ◽  
Ken'ichi Saito
Keyword(s):  
Case Report ◽  
Odontogenic Infection ◽  
Descending Necrotizing Mediastinitis

A Hazardous Foreign Body Perforating the Cervical Esophagus With Extra-Esophageal Impact

2021 ◽  
Author(s):  
Mehmet Furkan Sahin ◽  
Muhammet Ali Beyoglu ◽  
Alkin Yazicioglu ◽  
Erdal Yekeler
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Soft Tissue ◽  
Foreign Bodies ◽  
Rare Condition ◽  
Fatal Complication ◽  
Cervical Incision ◽  
Surgery Education ◽  
Esophageal Foreign Bodies

Abstract BackgroundEsophageal perforation due to foreign body is a fatal complication when not diagnosed on time and not managed properly. Although admissions to the emergency department after foreign body ingestion are frequently observed, perforating the esophagus after ingestion of sharp-edged objects and being observed in the soft tissue in the extraesophageal area is a very rare condition. MethodsThe patient, who admitted to the emergency department with dysphgia after swallowing a sharp-pointed foreign body, was retrospectively analyzed. ResultsWe present our patient who developed esophageal perforation as a result of accidentally swallowing a sharp-edged glass object which we diagnosed immediately, approached with a lateral cervical incision within 24 hours and removed from the location very close to the carotid artery in the extraesophageal area. ConclusionsPerforating esophageal foreign bodies are urgent problems that require early diagnosis and intervention. Delayed surgery can lead to fatal consequences. Trial RegistirationThis case report was retrospectively registered by Institutional Thoracic Surgery Education and Research Committe. (Number:2020-12-15/01, Date: 18/12/2020)

scholarly journals Stab Brain Injury: A Case Report

2021 ◽  
Vol 4 (6) ◽  
pp. 01-03
Author(s):  
Amir Kamalifar ◽  
Firooz Salehpoor ◽  
Farhad Mirzaii ◽  
Samar Kamalifar
Keyword(s):  
Health Care ◽  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Case Report ◽  
Brain Injury ◽  
Health Care System ◽  
High Mortality ◽  
Morbidity Rate ◽  
Foreign Object ◽  
Mortality And Morbidity

Penetrating foreign object rare cause of brain injury, and have high mortality and morbidity rate among traumatic brain injury, surgery and management of this patient challenged and need high experience health care system, we introduced 29 years old man admitted with stab brain injury to emergency department

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