Acute pulmonary edema affects 0.08% to 1.5% of women during pregnancy and during the postpartum period, and preeclampsia/eclampsia is a major obstetric cause of acute pulmonary edema. We present a case of a 23-year-old nulliparous woman who was referred totertiary medical center for preterm labor and dyspnea (Mousavi Hospital). The patient complained of having suddenly developed respiratory distress and a decrease in O2saturation following the administration of magnesium sulfate. A chest radiograph taken at bedside showed widespread interstitial shadowing consistent with pulmonary edema. The patient was given prompt treatment, and she achieved full recovery. Pharmacological agents are one of the defendants used for lung edema during pregnancy. It is important to pay attention to lung edema due to tocolytic administration.

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.