Methicillin resistant staphylococcus aureus infection in descending necrotizing mediastinitis from retropharyngeal perforation: A rare event

Habeeba Park, Natelege Hickman, Florence Freund, Lynne A. Skaryak, Rhonda Fishel

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Descending necrotizing mediastinitis is a rare but serious infection of the interpleural spaces and mediastinal connective tissue from the cervical region to the diaphragm that spreads rapidly along fascial planes. CASE: This report describes an unusual presentation of descending necrotizing mediastinitis in an otherwise healthy 25-year-old woman infected with methicillin-resistant Staphylococcus aureus, whose management required open sternotomy with frequent debridement. CONCLUSION: The mainstays of descending necrotizing mediastinitis management are early diagnosis, aggressive surgical debridement and drainage, and appropriate antibiotic therapy.

Original languageEnglish (US)
Pages (from-to)209-213
Number of pages5
JournalJournal of Wound, Ostomy and Continence Nursing
Volume37
Issue number2
DOIs
StatePublished - Mar 2010

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing

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