Volume 28, Issue 128 (May & June 2020)                   J Adv Med Biomed Res 2020, 28(128): 166-170 | Back to browse issues page


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Abdi M, Tahrekhani M, Zeraati M. Necrotizing Mediastinitis Following Rabbit Bone Ingestion: A Case Report. J Adv Med Biomed Res 2020; 28 (128) :166-170
URL: http://journal.zums.ac.ir/article-1-5777-en.html
1- Dept. of Emergency and Critical Care, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
2- Dept. of Medical- Surgical Nursing, Abhar School of Nursing, Zanjan University of Medical Sciences, Zanjan, Iran
3- Dept. of Critical Care, Ayatollah Mousavi Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran , mohammadrezazeraati@zums.ac.ir
Abstract:   (141786 Views)

Necrotizing mediastinitis is the most lethal type of mediastinitis and is caused by neck fascia, esophageal, and mediastinal infections. Therefore, its early diagnosis is crucial. This report presents the case of a 49-year-old man who was suffering from necrotizing mediastinitis due to prolonged esophageal rupturing after rabbit bone ingestion diagnosed using infection assessments and imaging. After right lateral posterior thoracotomy, the mediastinal abscess was debrided and drained. The rabbit bones were then removed from the esophagus. Two drainage tubes and two thoracotomy tubes were inserted into the mediastinal and pleural spaces, and a jejunostomy tube was inserted. Varied clinical manifestations makes the diagnosis hard and time-consuming. If early diagnosis, antibiotic therapy, thoracic surgery, proper monitoring, CT-scan imaging for differential diagnosis, and intervention are not initiated promptly, mediastinitis resulting from DNM can be lethal.

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Necrotizing mediastinitis is the most lethal type of mediastinitis and is caused by neck fascia, esophageal, and mediastinal infections. Therefore, its early diagnosis is crucial. This report presents the case of a 49-year-old man who was suffering from necrotizing mediastinitis due to prolonged esophageal rupturing after rabbit bone ingestion diagnosed using infection assessments and imaging.


Type of Study: Case Report Article | Subject: Clinical Medicine
Received: 2019/09/22 | Accepted: 2020/12/5 | Published: 2020/05/1

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