Descending necrotizing mediastinitis in early childhood: Favorable outcome after aggressive treatment

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ObjectiveTo report a case of descending necrotizing mediastinitis (DNM), an unusual illness in childhood that develops as a complication of oropharyngeal infection.DesignDescriptive case report.SettingPediatric intensive care unit.PatientA 19-month-old boy with a DNM that resulted from a pharyngeal abscess.InterventionsAggressive surgical debridement; intravenous therapy with broad-spectrum antibiotics.Measurements and Main ResultsSimple chest radiograph and computed tomographic scan, and routine culture were used to assess the patient. Administration of broad-spectrum antibiotics and surgical drainage resulted in clinical resolution of symptoms.ConclusionsAn aggressive approach (broad-spectrum antibiotics and surgical debridement) can improve the prognosis of DNM in children.

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