Mediastinitis descendente necrotizante de causa odontogénica. A propósito de un caso
- Rodríguez Ortega, Lara
- Rodríguez Paniagua, José Manuel
- Santos Marino, Juan
- Leco Berrocal, María Isabel
- Martínez González, José María
ISSN: 1697-6398, 1697-641X
Année de publication: 2012
Volumen: 9
Número: 2
Pages: 63-68
Type: Article
D'autres publications dans: Científica dental: Revista científica de formación continuada
Résumé
Introduction: This infection originating from the teeth is a frequent subject of consultation in daily practice. The infection may occasionally spread by way of cervical spaces and reach the mediastinum, giving rise to descending necrotising mediastinitis (DNM). Objective: Analyse the possible odontogenic causes and establish the microorganisms involved, symptoms, treatment and development. Clinical case: Male patient aged 29 attends the emergency department of General university hospital in Alicante suffering from descending necrotising mediastinitis deriving from severe pericononitis of level 48. Conclusions: The most common causes of DNM of an odontogenic nature are infections of the mandibular molars, cases deriving from severe pericononitis of the third lower molar being frequent. It is a mixed polymicrobial infection, which is a reflection of its odontogenic nature. The treatment required consists of general measures with adequate drainage of purulent collections.