Cervical Necrotizing Fasciitis and Descending Mediastinitis Secondary to Mandibular Fracture: Case Report.
Cervical necrotizing fasciitis and descending mediastinitis are aggressive infections with high morbidity and mortality. A 20-year-old man who was admitted to our clinic with painful neck movements and difficulty in swallowing, had tenderness on the neck and the skin of the neck was red and hot on p...
| Publicado en: | Turkiye Klinikleri Archives of Lung Vol. 14; no. 1; pp. 14 - 17 |
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| Autores principales: | , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Turkiye Klinikleri
2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=90744588&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 90744588 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13090119 BE7H jtl: Turkiye Klinikleri Archives of Lung issn: 13090119 maglogo: N pubinfo: dt: 2013 vid: 14 iid: 1 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 90744588 90744588 104145487 90744588 ppf: 14 ppct: 3 formats: fmt: @attributes: type: P tig: atl: Cervical Necrotizing Fasciitis and Descending Mediastinitis Secondary to Mandibular Fracture: Case Report. aug: au: KANLIOĞLU KUMAN, Nilgün ERPEK, Gökhan ÇOKPINAR, Salih YAMAN, Ertan ŞEN, Serdar affil: Department of Thoracic Surgery, Adnan Menderes University Faculty of Medicine, Aydın sug: subj: Fasciitis, Necrotizing Neck Anatomy and Histology Mediastinitis Diagnosis Mandibular Fractures Diagnosis Lung Diseases Physiopathology Mandibular Fractures Complications Fasciitis, Necrotizing Physiopathology Male Adult Tomography, X-Ray Computed Mandible Radiography Mediastinitis Therapy Antibiotics Administration and Dosage Mandibular Fractures Surgery Surgery, Operative Adult: 19-44 years Male ab: Cervical necrotizing fasciitis and descending mediastinitis are aggressive infections with high morbidity and mortality. A 20-year-old man who was admitted to our clinic with painful neck movements and difficulty in swallowing, had tenderness on the neck and the skin of the neck was red and hot on physical examination. He had a chin trauma about 12 days ago in his medical history. A mandibular fracture can be seen on X-ray. Computed tomography scan of his neck and chest showed evidence of cervical necrotizing fasciitis, abscess formation and descending mediastinitis secondary to fracture. Case was treated with broad-spectrum antibiotics and urgent surgical drainage. Following surgical drainage the patient's condition quickly improved. Mandibular stabilization was performed under elective conditions and he was discharged on the 19th day of admission. Servikal nekrotizan fasiit ve desendan mediastinit yüksek morbidite ve mortalite ile seyreden agresif enfeksiyonlardandır. Yutmada güçlük ve boyun hareketlerinde ağrı ile kliniğimize başvuran 20 yaşındaki erkek olgunun fizik muayenesinde boyun bölgesinde hassasiyet, kızarıklık ve ısı artışı mevcuttu. Hikayesinde yaklaşık 12 gün önce çeneye alınan bir darbe olan olgunun düz grafilerinde mandibula kırığı, toraks ve boyun bilgisayarlı tomografisinde nekrotizan servikal fasiit ve desendan mediastinit bulguları tespit edildi. Olgu geniş spektrumlu antibiyotik ve acil cerrahi drenaj ile tedavi edildi ve cerrahi drenajı takiben klinik durum hızlı bir şekilde düzelme gösterdi. Olguya elektif şartlarda mandibula stabilizasyonu uygulandı ve başvurusundan 19 gün sonra taburcu edildi. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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