Korean J Thorac Cardiovasc Surg.  2004 Apr;37(4):386-389.

Descending Necrotizing Mediastinitis Caused by Yeast: A case report

• Yoon YC
• Cho KH
• Kim SR
• Jun HJ
• Choi KJ
• Lee YH
• Hwang YH

Abstract

Descending nectorizing mediastinitis (DNM) represents a virulent form of mediastinal infection requiring prompt diagnosis and treatment to reduce the high morbidity mortality associated with this disease. Intr.avenous broad-spectrum antibiotic therapy alone is not efficient without adequate surgical drainage of the cervical and mediastinal collections, extensive debridement and excision of necrotic tissue, and wide mediastino-pleural irrigation. A 38-year-old man admitted via emergency room with painful left neck swelling and uncontrolled high fever. Chest computed tomogram showed left paratracheal abscess descending into the superior and anterior mediastinum. Transcervical mediastinal drainage was performed with 26 Fr. chest tube and left paratracheal drainage was performed with Penrose drain in urgency. Culture and sensitivity test grew Yeast. The drains removed via gradually shortening on day 39 after surgery.

Keyword

Mediastinitis; Necrosis; Yeast

MeSH Terms

Abscess
Adult
Chest Tubes
Debridement
Diagnosis
Drainage
Emergency Service, Hospital
Fever
Humans
Mediastinitis*
Mediastinum
Mortality
Neck
Necrosis
Thorax
Yeasts*