Descending necrotizing mediastinitis secondary to retropharyngeal abscess without cervical spread.

Gen Thorac Cardiovasc Surg

Department of General Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Published: January 2008

Cervical infections can cause neck phlegmonosa and occasionally develop lethal mediastinitis. We report a 52-year-old man with a retropharyngeal abscess causing descending mediastinis without cervical spread. Thoracoscopic drainage without cervicotomy was successful. Deep neck infections causing a descending mediastinitis should be considered in patients even without an abnormal neck appearance.

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http://dx.doi.org/10.1007/s11748-007-0182-yDOI Listing

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