Respir Case Rep. 2013; 2(1): 23-26 | DOI: 10.5505/respircase.2013.58066

Ölümcül Bir Diþ Apsesi: Desendan Nekrotizan Mediastinit

Atalay Þahin¹, Fatih Meteroglu¹, Ýsmet Rezani Toptanci², Tahir Þevval Eren¹, Canan Eren^3
1Dicle Üniversitesi, Týp Fakültesi, Göðüs Cerrahisi Ad, Diyarbakýr, Türkiye
²Dicle Üniversitesi, Diþ Hekimliði Fakültesi, Diyarbakýr, Türkiye
³Diyarbakýr Çocuk Hastalýklarý Hastanesi, Klinik Mikrobiyoloji Servisi, Diyarbakýr

Mediastinit, mediastendeki hayati organlarýn etrafýnda nadir görülen enfeksiyöz bir hastalýktýr. Desendan nekrotizan mediastinite odontojenik, farengeal, servikal enfeksiyonlar, sternotomi veya taný ve tedavi amaçlý giriþimler sebeb olur. Zamanýnda taný konulmaz ve uygun olarak tedavi edilmezse sonuç fatal olur. Tedavideki gecikme enfeksiyonun mediastene yayýlmasýna yol açar. Diþ apsesinden muzdarip 17 yaþýndaki kýzda geliþen desendan nekrotizan mediastinit olgusunu sunuyoruz.

Anahtar Kelimeler: Diþ apsesi, mediastinit, farengeal enfeksiyon.

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Fatal Dental Abscess: Descending Necrotising Mediastinitis

Atalay Þahin¹, Fatih Meteroglu¹, Ýsmet Rezani Toptanci², Tahir Þevval Eren¹, Canan Eren^3
1Dicle University, Medical School, Department Of Thoracic Surgery, Diyarbakir, Turkey
²Dicle University, School Of Dentristry, Diyarbakir, Turkey
³Diyarbakýr Children Hospital, Department Of Clinical Microbiology, Diyarbakýr, Turkey

Mediastinitis is a rare infectious disease around the vital organs in the mediastinum. Descending necrotizing mediastinitis (DNM) is caused by odontogenic, pharyngeal, cervical infections, sternotomy or diagnostic and therapeutic instrumentation. Unless it is diagnosed in a timely manner and properly treated, the outcome is fatal. Delay in treatment leads to the spread of the infection down to the mediatinum. We present a case of DNM in 17-year-old girl suffering from a dental abscess.

Keywords: Dental abscess, mediastinitis, pharyngeal infection.

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