دورية أكاديمية
أعرض في EDS

Descending necrotizing mediastinitis caused by Streptococcus constellatus: A case report and review of the literature.

التفاصيل البيبلوغرافية
العنوان: Descending necrotizing mediastinitis caused by Streptococcus constellatus: A case report and review of the literature.
المؤلفون: Guo J; Department of Vascular Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China., Lin L; Department of Anesthesiology, The Affiliated Hospital of Southwest Medical University, Luzhou, China., Zhou H; Department of Vascular Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China., Yang W; Department of Vascular Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China., Shi S; Department of Vascular Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
المصدر: Medicine [Medicine (Baltimore)] 2023 Apr 07; Vol. 102 (14), pp. e33458.
نوع المنشور: Review; Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
مواضيع طبية MeSH: Mediastinitis*/diagnosis , Mediastinitis*/therapy , Mediastinitis*/etiology , Streptococcus constellatus* , Mediastinal Diseases*/complications, Male ; Humans ; Middle Aged ; Abscess/diagnosis ; Abscess/therapy ; Abscess/complications ; Mediastinum ; Drainage/adverse effects ; Anti-Bacterial Agents/therapeutic use ; Necrosis/complications
مستخلص: Rationale: Descending necrotizing mediastinitis (DNM) is a rare but severe mediastinal infection. If not diagnosed and treated promptly, the consequences can be very serious. Here, we shared a successful diagnosis and treatment case of DNM that originates from oral to neck and mediastinum caused by Streptococcus constellatus (S constellatus). S constellatus is a clinically uncommon gram-positive coccus and is known for its ability to form abscesses. Timely surgical drainage and the correct use of antibiotics are key to successful treatment.
Patient Concerns: A 53-year-old male admitted to hospital with painful swelling of the right cheek, persistent oral pus and moderate fever lasting 1 week, followed by rapid development of a mediastinal abscess.
Diagnoses: He was diagnosed with DNM caused by S constellatus.
Interventions: On the evening of admission, an emergency tracheotomy and thoracoscopic exploration and drainage of the right mediastinum, floor of the mouth, parapharynx and neck abscess were performed. Antibiotics were administered immediately.
Outcomes: At 28 days post-operatively, the abscess was absorbed, bilateral lung exudate decreased and the patient temperature, aspartate transaminase, alanine transaminase, bilirubin and platelets returned to normal. The patient was discharged after completing 4 weeks of antibiotic therapy. Follow-up at 3 months after discharge revealed no recurrence of the abscess.
Lessons: Early surgical drainage and antibiotics treatment are important in mediastinal abscesses and infectious shock due to Streptococcus asteroids.
Competing Interests: The authors have no funding and conflicts of interest to disclose.
(Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.)
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المشرفين على المادة: 0 (Anti-Bacterial Agents)
تواريخ الأحداث: Date Created: 20230407 Date Completed: 20230411 Latest Revision: 20230508
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10082295
DOI: 10.1097/MD.0000000000033458
PMID: 37026905
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5964
DOI:10.1097/MD.0000000000033458