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Fatal case of descending necrotising mediastinitis

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A 56-year-old man presented with a 4-day history of fever and sore throat followed by 1 day of wheezing. On examination, he appeared in acute distress. The blood pressure was 129/76 mm… Click to show full abstract

A 56-year-old man presented with a 4-day history of fever and sore throat followed by 1 day of wheezing. On examination, he appeared in acute distress. The blood pressure was 129/76 mm Hg, the pulse was 88 per min, the respiratory rate was 22 per min and the temperature was 38.2°C. Auscultation over the upper airway area noted stridor. Chest radiograph showed tracheal stenosis and air along the aorta (figure 1). At the emergency department, he developed respiratory arrest, and the trachea …

Keywords: fatal case; case; descending necrotising; necrotising mediastinitis; case descending

Journal Title: BMJ Case Reports
Year Published: 2017

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