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
Keywords
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