An Uncommon Cause of Diffuse ST-Segment Elevation: A Case Report of Descending Necrotizing Mediastinitis
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 2
Abstract
Abstract: Descending necrotizing mediastinitis (DNM) is a rare, rapidly progressive complication of oropharyngeal infections that spreads deep into the mediastinum through loose retropharyngeal spaces, resulting in necrosis and destruction of the mediastinum structure. Recognition of unexpectedly wide-spreading infection in the mediastinum is difficult without appropriate CT imaging, and diagnosis is often delayed. We present a case of a 69-year-old man with DNM successfully treated with a multidisciplinary approach, including aggressive surgical debridement. The patient manifested diffuse ST-segment elevations in twelve-lead electrocardiogram on the day of admission. In our case, acute electrocardiogram changes were useful in early recognition of pericardial involvement and contributed to appropriate surgical debridement.
Authors and Affiliations
Izumi Nakayama, Kazuhito Hirata
Pregnancy in Rudimentary Horn of Uterus: A case report
Pregnancy in rudimentary horn is rare. Rudimentary horn is a result of failure of complete mullerian duct development. It carries a risk of rupture, especially in the second trimester which can be life threatening to the...
Inter-Communication between Cords of Brachial Plexus: A Case Report
Inter-communications between peripheral nerves deserve special attention in view of their clinical significance. Variations of the median and musculocutaneous nerve at the level of brachial plexus are common. The present...
An interesting case of acute psychosis with seizures
Abstract: We present a case of an elderly female with acute onset of psychiatric symptoms in the form of auditory and visual hallucinations, disorientation and forgetfulness. She had two episodes of generalized tonic clo...
Rare Location of Osteoid Osteoma in the Capitatum of a Young Man
Abstract: Osteoid osteoma is a common tumor on long bones but exceptional in carp. The aim of this study is to evaluate the rarity of this localization and to highlight its diagnostic difficulty. This study reports a cas...
Restless legs syndrome (RLS) in a case of hook worm infestation
Restless legs syndrome (RLS) is characterised by irresistible urge to move the leg when at rest or while trying to fall asleep. The cause of RLS mostly idiopathic. A variety of factors can cause RLS such as iron deficien...