Retrosternal pain and fever with catarrhal symptoms; a case of mediastinitis due to Haemophilus influenzae

Authors

  • Torres-Arrese Torres-Arrese Servicio de Urgencias, Hospital Universitario 12 de Octubre, Madrid, Spain
  • Carolina Hernández-Durán Servicio de Urgencias, Hospital Universitario 12 de Octubre, Madrid, Spain
  • Adrián Moya-Barrientos Servicio de Urgencias, Hospital Universitario 12 de Octubre, Madrid, Spain
  • Lorena Castro-Arias Servicio de Urgencias, Hospital Universitario 12 de Octubre, Madrid, Spain

DOI:

https://doi.org/10.32818/reccmi.a4n1a2

Keywords:

mediastinitis, Haemophilus influenzae, pericarditis.

Abstract

The case that happens intends to emphasize a potentially fatal pathology. The delay in the diagnosis of this entity potentially influences both the management and the prognosis. A 38-year-old male with no history goes to the Emergency Department for fever, high catarrhal symptoms and retrosternal chest pain. He was stable but febrile and the analytical revealed elevation of acute phase reactants. A CT scan was requested under suspicion of mediastinitis that confirmed the diagnosis. Antibiotic therapy was initiated and an expectant attitude was taken. The precocity of the diagnosis allowed a conservative treatment.

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References

Gunaratne DA, Tseros EA, Hasan Z, Kudpaje AS, Suruliraj A, Smith MC, Riffat F, Palme CE. Cervical necrotizing fasciitis: systematic review and analysis of 1235 reported cases from the literature. Head Neck. 2018 Sep; 40(9): 2094- 2102. doi: https://doi.org/10.1002/hed.25184.

Chow AW. Deep neck space infections. Uptodate.com [Internet]. Actualizado: Oct 11, 2017. Revisado: Oct 15, 2018. Disponible en: https://www.uptodate.com/contents/3415#!

Brook I, Frazier EH. Microbiology of mediastinitis. Arch Intern Med. 1996 Feb 12; 156(3): 333-336.

Hurley MC, Heran MK. Imaging studies for head and neck infections. Infect Dis Clin North Am. 2007 Jun; 21(2): 305-353, v-vi.

Todd JK. Bacteriology and clinical relevance of nasopharyngeal and oropharyngeal cultures. Pediatr Infect Dis. 1984 Mar-Apr; 3(2): 159-163.

Rega AJ, Aziz SR, Ziccardi VB. Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin. J Oral Maxillofac Surg. 2006 Sep; 64(9): 1377-1380.

Reynolds SC, Chow AW. Severe soft tissue infections of the head and neck: a primer for critical care physicians. Lung. 2009 Sep-Oct; 187(5): 271-279. doi: https://doi.org/10.1007/s00408-009-9153-7.

Chen KC, Chen JS, Kuo SW, Huang PM, Hsu HH, Lee JM, Lee YC. Descending necrotizing mediastinitis: a 10-year surgical experience in a single institution. J Thorac Cardiovasc Surg. 2008 Jul; 136(1): 191-198. doi: https://doi.org/10.1016/j.jtcvs.2008.01.009.

Published

2019-04-30

How to Cite

1.
Torres-Arrese M, Hernández-Durán C, Moya-Barrientos A, Castro-Arias L. Retrosternal pain and fever with catarrhal symptoms; a case of mediastinitis due to Haemophilus influenzae. Rev Esp Casos Clin Med Intern [Internet]. 2019 Apr. 30 [cited 2024 Nov. 23];4(1):3-5. Available from: https://www.reccmi.com/RECCMI/article/view/344

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