Desendan Nekrotizan Mediastinit: �ki Olgu Sunumu

Metero�lu, Fatih; Oru�, Menduh; �ahin, Atalay; G�l, Burak; �lmez Kavak, G�n�l

Cilt : 11 Say� : 1 Y�l : 2022

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Desendan Nekrotizan Mediastinit: �ki Olgu Sunumu [Respir Case Rep]

Respir Case Rep. 2018; 7(1): 21-25 | DOI: 10.5505/respircase.2018.46503

Desendan Nekrotizan Mediastinit: �ki Olgu Sunumu

Fatih Metero�lu¹, Menduh Oru�¹, Atalay �ahin², Burak G�l¹, G�n�l �lmez Kavak³
¹Dicle �niversitesi T�p Fak�ltesi, G��s Cerrahisi Anabilim Dal�, Diyarbak�r
²Gazi Ya�argil E�itim ve Ara�t�rma Hastanesi, G��s Cerrahi-si Klini�i, Diyarbak�r
³Dicle �niversitesi T�p Fak�ltesi, Anestezi ve Reanimasyon Anabilim Dal�, Diyarbak�r

Desenden nekrotizan mediastinit (DNM) nadir g�r�len, fakat y�ksek oranda �l�mc�l seyreden bir durumdur. DNM, mediastendeki hayati organlar�n etraf�nda nadir g�r�len enfeksiy�z bir hastal�kt�r. Zaman�nda tan� konulmaz ve uygun olarak tedavi edilmezse sonu� fatal olur. Tedavideki gecikme enfeksiyonun mediastene yay�lmas�na yol a�ar. Erken tan�, uygun antibiyoterapi ve cerrahi giri�imle �ifa olas�d�r. A��z taban�nda k�t� kokulu bir s�v�n�n geldi�ini ifade eden 37 ya��ndaki erkek hasta 5 g�n sonra ve kemikli et yemesi sonras� yutamama �ik�yetiyle acile ba�vuran 57 ya��ndaki erkek hasta 7 g�n sonra yat�r�ld�. Her iki olgu gerekli laboratuvar ve radyolojik tetkikler sonras� acilden ameliyata al�nd�. Olgular�n tan�lar�ndaki gecikmelerden sonra m�dahale edildi. M�dahale sonras� takiplerde olgular �ifa ile taburcu edildiler.

Anahtar Kelimeler: Cerrahi, desendan, nekrotizan, mediastinit

Descending Necrotizing Mediastinitis: Report of Two Cases

Fatih Metero�lu¹, Menduh Oru�¹, Atalay �ahin², Burak G�l¹, G�n�l �lmez Kavak³
¹Department of Thoracic Surgery, Dicle University, Faculty of Medicine, Diyarbak�r, Turkey
²Department of Thoracic Surgery, Gazi Ya�argil Education and Research Hospital, Diyarbakir, Turkey
³Department of Anesthesiology and reanimation, Dicle University, Faculty of Medicine, Diyarbak�r, Turkey

Descending necrotizing mediastinitis (DNM) is a rare but fatal progressive condition. DNM is infectious disease occurring in the tissues and structures of the mediastinum that spreads from the oral cavity and the neck. Unless it is diagnosed in a timely manner and properly treated, the outcome is fatal. Delay in treatment allows the infection to spread down to the mediastinum. Early diagnosis, appropriate antibiotherapy, and surgical intervention are necessary for a cure. Presently described are 2 cases: a 37-year-old man presenting with a fetid fluid discharge in his mouth ongoing for 5 days, and a 57-year-old man complaining of not being able to swallow after eating bony meat 7 days earlier. Both cases underwent surgery after the necessary laboratory and radiological procedures were performed in the emergency department. Though there was a delay in admission, both patients were discharged after an uneventful surgical intervention.

Keywords: Surgery, descending, necrotizing, mediastinitis

Olgunun G�r�nt� Kesitleri

�kinci Kesit

Fatih Metero�lu, Menduh Oru�, Atalay �ahin, Burak G�l, G�n�l �lmez Kavak. Descending Necrotizing Mediastinitis: Report of Two Cases. Respir Case Rep. 2018; 7(1): 21-25

Sorumlu Yazar: Fatih Metero�lu, T�rkiye
Makale Dili: T�rk�e

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