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Anterior mediastinal abscess diagnosed in a young sumo wrestler after closed blunt chest trauma
Authors:Tatsuro Sass  Ken-ichiro Kobayashi  Masayuki Ot  Takuya Washino  Mayu Hikone  Naoya Sakamoto  Sentaro Iwabuchi  Mizuto Otsuji  Kenji Ohnishi
Affiliation:Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital,Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital,Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital,Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital,Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital,Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital,Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital,Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital and Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital
Abstract:Most mediastinal abscesses result from infections after thoracotomy, esophageal perforation or penetrating chest trauma. This disease is rarely caused by closed blunt chest trauma. All previously reported such cases after closed blunt chest trauma presented with hematoma and sternal osteomyelitis resulting from sternal fracture. Here we report a 15-year-old sumo wrestler who presented with an anterior mediastinal abscess without any mediastinal fracture. The mediastinal abscess resulted from the hematogenous spread of Staphylococcus aureus to a hematoma that might have been caused by a closed blunt chest trauma incurred during sumo wrestling exercises.
Keywords:Mediastinal abscessStaphylococcus aureusSumo wrestlerChest trauma
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