Descending necrotizing mediastinitis with sternocostoclavicular osteomyelitis and partial thoracic empyema: Report of a case |
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Authors: | Makoto Sonobe Masakazu Miyazaki Masatsugu Nakagawa Naoyuki Ikegami Yuji Suzumura Miyuki Nagasawa Toru Shindo |
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Institution: | (1) Department of Thoracic Surgery, Tenri Hospital, 200 Mishima-cho, Tenri, 632-8552 Nara, Japan;(2) Department of Oto Rhino-Laryngology, Tenri Hospital, 200 Mishima-cho, Tenri, 632-8552 Nara, Japan |
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Abstract: | We present herein the case of a 50-year-old woman in whom descending necrotizing mediastinitis originating from an anterior
neck abscess spread to the left upper bony thorax, resulting in osteomyelitis of the left sternocostoclavicular articulation
and left partial thoracic empyema. Transcervical mediastinal irrigation and drainage was performed with aggressive antibiotic
therapy, followed by resection of the left sternocostoclavicular joint and debridement of the anterior mediastinum. The patient
had an uneventful postoperative course, and her left arm and shoulder mobility was well preserved. |
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Keywords: | descending necrotizing mediastinitis osteomyelitis thoracic empyema |
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