2011•International Journal of Surgery Case ReportsOpen access

Descending necrotizing mediastinitis as a complication of odontogenic infection

Sylvain Diamantis, Helen E. Giannakopoulos, Joli C. Chou, Joseph W. Foote

Abstract

Descending necrotizing mediastinitis (DNM) is a serious, life threatening complication that can occur from a common odontogenic infection. Even with advancements in antibiotics, diagnostic imaging, and surgical management, the mortality rate remains between 20 and 40%. It is imperative that the practitioner taking care of patients with odontogenic infections be sensitized to this potentially fatal complication. We report the successful management of a case of mediastinitis complicating an odontogenic infection in a 39-year-old male.

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Key concepts: Mediastinitis, Medicine, Odontogenic infection, Odontogenic, Complication, Surgery, Intensive care medicine, Pathology