Acute mediastinitis
From WikiLectures
Acute mediastinitis is a serious disease with a high lethality (approximately 50%).
- Usually a consequence of perforation of the oesophagus (endoscopic procedures, tumours), rarely a complication of pneumonia/mediastinitis (possibly lung abscess, empyema) or even as a complication of coemphysitis.
Clinical picture[edit | edit source]
- Fever with retrosternal pain,
- with esophageal perforation dysphagia + subcutaneous emphysema,
- X-ray: enlargement of the mediastinum, ev. with pleural effusion + mediastinal emphysema.
Therapy[edit | edit source]
- ATB i.v., mediastinal drainage.
References[edit | edit source]
Related articles[edit | edit source]
References[edit | edit source]
- DÍTĚ, P., et al. Vnitřní lékařství. 2. edition. Praha : Galén, 2007. ISBN 978-80-7262-496-6.