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 journalArticle

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

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Mediastinitis
Methicillin-Resistant Staphylococcus aureus
Debridement
Infection
Sternotomy
Diaphragm
Connective Tissue
Early Diagnosis
Drainage
Anti-Bacterial Agents
Therapeutics

ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Medical–Surgical

Cite this

Methicillin resistant staphylococcus aureus infection in descending necrotizing mediastinitis from retropharyngeal perforation : A rare event. / Park, Habeeba; Hickman, Natelege; Freund, Florence; Skaryak, Lynne A.; Fishel, Rhonda.

In: Journal of Wound, Ostomy and Continence Nursing, Vol. 37, No. 2, 03.2010, p. 209-213.

Research output: Contribution to journalArticle

Park, Habeeba ; Hickman, Natelege ; Freund, Florence ; Skaryak, Lynne A. ; Fishel, Rhonda. / Methicillin resistant staphylococcus aureus infection in descending necrotizing mediastinitis from retropharyngeal perforation : A rare event. In: Journal of Wound, Ostomy and Continence Nursing. 2010 ; Vol. 37, No. 2. pp. 209-213.
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